Hip pain and cauda equina syndrome
R G Kavanagh1, N G Burke, C Green
1Department of Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin 7. richkavanagh@rcsi.ie
Abstract:
Acute cauda equina syndrome secondary to a spinal epidural abscess as a result of a psoas abscess is very uncommon. We report the case of a 64-year old with a 6-day history of left hip pain, which progressively worsened until she presented to the emergency department with systemic infective symptoms and classical acute cauda equina syndrome. A good clinical outcome was achieved by urgent posterior decompression, followed by CT-guided drainage of the psoas abscess and appropriate antibiotic treatment.
Related Concept Videos
Herniated Intervertebral Disc l: Introduction
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
Degenerative Disc Disease ll: Pathophysiology
Spinal Nerves: Plexus II
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...


