Cauda Equina Syndrome - CRASH! Medical Review Series

[@woloabel]

9/25/2022. Neurology: Cauda Equina Syndrome (CES). Pathophysiology is Injury to Spinal Nerves (Spinal Nerve Stenosis/Compression) below L2 Vertebra usually due to Disc Herniation. Aetiology: 1) Herniated Nucleus Pulposus, 2) Lumbar Spine Stenosis (Osteoarthritis), 3) Trauma, 4) Neoplasm (Tumor)/Metastasis Thereof, 4) Infection/Abscess, 5) Inflammatory Disease (Multiple Possible). SSx: 1) Weakness, 2) Anesthesia/Sensory Deficits, 3) Pain. 4) Absent/Reduced Cremasteric Reflex (L1-L2), 5) Bulbocavernous Reflex (S2-S4) is Absence or Reduction. Dx: Sacrolumbral MRI. Tx: 1) Physical Therapy, 2) Occupational Therapy, 3) Surgery Intervention if Warranted (Trauma or Spinal Injury), 4) Treatment of Underlying Aetiology is primary Focus, and 5) Specialist Referral. Excellentissssssimus!

[@GrayfinRois]

Degenerative disk disease is not a significant cause of CE. If it was, the incidence would be exponentially more because all humans develop those changes with the normal aging process. CE is relatively rare.

[@zainabmalik4571]

The testes of the woman which would in fact be the ovary 😂. Love your lectures. Thank God they are free and available to broke people like me.

[@uttamkumar097]

great lecture as always..

[@DrDinooshDeLivera]

Thank you Dr Bolin, love your work!

[@enasrizk3584]

Thanks a lot really That’s a great efforts

[@nsas955]

Thanks a lot Can we say that anterioe spinal cord artery syndrome is an upper motor neurone lesion while cauda wquina syndrome is a lower motor neurone lesion ?

[@Mav2208]

Is it not S2, S3, S4, keep the .....off the floor? 21:22 says L2, L3, L4.....Great vids though and I really appreciate you putting them up.

[@atharibnalisyed4515]

yes, S2,3,4 keeps the 3 P‘s off the floor (Penis, Poo, and Pee)

[@ivs_all]

Paul, in the lecture about Guillain-Barre syndrome you told that a patient suffers from both motor and sensory symptoms but in cauda equina syndrome lecture you are saying that there are no clinically significant sensory symptoms. I guess there is conflicted ambiguous information.

[@andelljaggernauth4276]

jmunum

[@RainerWinkelschleifer]

You just answer your own critic: "no clinically significant" doesn't imply the absence of sensory symptoms = presence of sensory symptom.

[@deth2allbutmetal74]

Is this seen in patients with Ehlers Danlos Syndrome?

[@mohammadhamadneh3611]

thank you >> great video

[@hddh9817]

Great 🌟👏🏻👏🏻

[@mawaddasulieman5433]

Continue Continue 👍👍👍

[@zoegallimore8264]

It’s unbelievable that you only keep commenting on the problems that men face especially with sexual dysfunction due to absence of the bulbocavernosus reflex. I’m sick of hearing about erectile dysfunction. What about woman? Why don’t you comment on how we are tested? Not once have you mentioned the clitoris. There are tests that they can do involving our sex organ but you have totally avoided talking about that or how we might be affected. It’s infuriating.

[@pwbmd]

Calm down. I have an entire set of videos on gynecology. 34 videos on gynecology alone, including a 40 minute video where I talk purely about the vagina. Visit my home page for that. Typically with medical review videos, we save all women's health issues for dedicated gynecology -- since that's a specialty of itself. You'll see that I have 68 total videos on women's health! I have 20 hours worth of videos on gynecology. :-)

[@zoegallimore8264]

It would have been helpful for you to have made reference to all these other ‘ gynaecological videos’ for woman in your talk. So that we could be made aware of them. Telling me to calm down is patronising.

[@pwbmd]

@@zoegallimore8264 - No references were made in this video because the GYN videos had not been made yet.

[@zoegallimore8264]

Makes sense as a man’s problems are generally addressed first .

[@pwbmd]

@@zoegallimore8264 - Internal medicine makes up a much larger proportion of board questions than OB/GYN. Please be advised that my channel is for board review purposes and not for lay people.