equine syndrome
IMPORTANT (equations, laws, etc.)
Caused by compression of all spinal nerves below
42rad in
Includes 4 bladder
bowel
Eggeal a sexual
LL function
NOTES
Causes Examination
t range of lumbar spinemovement
forklift htnngatfhfnat.li Yas9s s
4 difficultywalking legweakness
Inflatiation Myotomal deficit
haematoma 1 82
Thffanttumour 4 Altered sensation in a dermatomal
distribution
Risk factors loss or diminishedtendonreflexes
Previousdiagnosis of discpathology I Possie straightleg raise or slump
spinalstenosis
history of cancer
Investigations
4 Recent spinaloperation
abscess risk of Yukhour
SpygelEpidural investigations
Infection investigations
lumbar spinal stenosis
Recenttrauma Haematoma epidural subdural
Inflammatory diagnosis
Congenital malformations ofthespine
spinabifida congenital spinal
stenosis or hypnoscoliosis
M see t.mgealnpamenetsc.tt
PF
Symptoms
Saddleanaesthesia lossaltered Management
sensation in
bladder disturbance perinealregion 4 Immediate referral to A E for
imaging treatment
difficultyimitating loss of sensation
unation whenpassing preventprogressive irreversible
urine damage to the nerves
loss ofbladder
sensation incontinence Surgery
Gait disturbance sexualfunction Surgical decompression decompressie
backornerverootpain bilat pain amenectomy
radicular
b un laterel I