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Old 10-29-2012
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Question most common cause of cauda equina syndrome ?

is it cancer metz or trauma ?
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LOL weird question, Medscape puts both of them as the top 2 most common causes..

If I have to judge the number of Cancer related metastases and the amount of human stupidity then I would say that Trauma is the most common cause..

I dont have a solid base or source for that, however.

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Among these two choices I would say Trauma since cancer mets are so rare as compared to trauma.
However, spinal stenosis from a variety of causes including disc herniation (which could be from trauma) is the most common cause.
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Quote:
Originally Posted by Novobiocin View Post
Among these two choices I would say Trauma since cancer mets are so rare as compared to trauma.
However, spinal stenosis from a variety of causes including disc herniation (which could be from trauma) is the most common cause.
@ novo, if am not wrong, spinal stenosis is mcc for neurogenic claudication. is it here too ?
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Quote:
Originally Posted by tyagee View Post
@ novo, if am not wrong, spinal stenosis is mcc for neurogenic claudication. is it here too ?
neurogenic claudication is a common presenting symptom of spinal stenosis but the "lesion" causing spinal stenosis may eventually (if left untreated or late presentation) lead to further spinal cord compression depending on the level of the lesion. If the lesion happens to be at the Cauda equina then it will present as Cauda equina syndrome.
Spinal stenosis and cord compression
are not separate entities but same thing at the different end of the spectrum depending on the degree/level of spinal cord compression which is essentially the same as severe spinal stenosis.

Think of the spinal canal cavity as the lumen of coronary artery--If it narrows the patient gets angina (claudication) and if it narrows further and occludes the patient gets MI (Cauda equina) . The affected portion depends on the level/site of the coronary artery occlusion .
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Last edited by Novobiocin; 10-29-2012 at 12:22 PM.
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I guess its trauma, and anybody know which of the cancers of brain have more chance to spread to cauda equina
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Originally Posted by nuziveed View Post
I guess its trauma, and anybody know which of the cancers of brain have more chance to spread to cauda equina
Thats a pretty good question, however if I remember correctly it is extremely hard for any primary brain malignancy to spread out of the CNS before killing you.. so I dont think thats gonna be a subject or questions thats gonna be asked.
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Its medulloblastoma, drop metastasis, it metastasis through CSF
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Originally Posted by nuziveed View Post
Its medulloblastoma, drop metastasis, it metastasis through CSF
Also happens with Glioblastoma multiforme
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