QuestionSBA
QuestionChoice
This may be advice given for a self limiting flare of ankylosing spondylitis but is not appropriate given the severe pain and red flags of cauda equina syndrome in this case.
10028425
e
Discharge and advise to continue on prescribed NSAIDs
QuestionChoice
This is likely to form the initial management of cases of spinal trauma.
10028422
b
Immobilisation and stabilisation surgery
QuestionChoice
This is correct. This scenario describes cauda equina syndrome, for which ankylosing spondylitis is a risk factor. This is a neurosurgical emergency which requires surgical decompression.
10028421
a
Surgical decompression and laminectomy
QuestionChoice
This is the preferred treatment for cases of spinal abscess.
10028423
c
Antibiotics and surgical evacuation
QuestionChoice
These represent treatment options for spinal metastases/metastatic spinal cord compression.
10028424
d
Vertebrectomy and radiotherapy
Concept
Chapter
2693
6060
Cauda Equina Syndrome
Topic
141
Neurology
18082
Cauda equina syndrome, often associated with ankylosing spondylitis, necessitates urgent surgical decompression to prevent permanent neurological damage.
A 28 year old gentleman has been hospitalised due to a painful flare of ankylosing spondylitis and, on examination, has urinated in the bed.
On PR examination, there is loss of perianal sensation.
What is the most appropriate management?
a