尾巴马综合征的特征和临床特征:来自对256名患者的研究的见解
Junaid Zeb1, Jehan Zaib1, Arshad Khan2
1Registrar Trauma and Orthopaedics, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, United Kingdom.
SICOT-J
|July 20, 2023
概括
尾巴角综合征 (CES) 经常表现为神经缺陷和失禁. 年龄,严重的缺陷和直肠感官损失与MRI证明的CES有关,突出显示了迅速诊断和治疗的必要性.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尾牙综合征 (CES) 是一种复杂的神经疾病,需要及时诊断.
- 了解临床表现和病因因素对于有效管理至关重要.
研究的目的:
- 调查Cauda Equina综合征 (CES) 的频率,临床表现和原因.
- 分析疑似CES病例中的临床表现模式,并确定与MRI证明的CES相关的因素.
主要方法:
- 对256名18岁以上的参与者进行了回顾性分析,他们对CES有红旗症状.
- 数据收集包括人口统计,神经缺陷,尿道/肠道症状和MRI发现.
- 描述性统计和物流回归被用来识别显著变量.
主要成果:
- 参与者的平均年龄为58.05岁,女性占主导地位 (58.98%).
- 神经系统缺陷 (50.78%),尿道问题 (17.58%),尿失禁 (35.16%) 和 sciatica (21.88%) 是常见的表现.
- 通过MRI证明的CES与年龄较大 (每年增加3%),严重的神经缺陷 (OR=14.97) 和直肠感觉丧失 (OR=10.62) 有关.
结论:
- CES表现出各种症状,包括神经缺陷,失禁和坐骨神经痛.
- 年龄,严重的双边神经缺陷和直肠感觉丧失是MRI证明CES的关键指标.
- 早期诊断和治疗对于改善Cauda Equina综合征患者的治疗结果至关重要.
相关概念视频
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
17
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
17
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
194
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
194
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
01:22Case Studies
11.7K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
11.7K
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
15
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
15
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
17
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
17