Diagnóstico precoce e complicações da Síndrome da Cauda Equina: uma revisão integrativa de literatura/ Early diagnosis and complications of Cauda Equina Syndrome: an integrative literature review
نویسندگان
چکیده
Introdução: A Síndrome da Cauda Equina (SCE) é uma condição neurológica relativamente rara, tendo por etiologia mais comum a hérnia discal lombar. Pode manifestar-se clinicamente anestesia “em sela”, dor lombar, ciatalgia, incontinência urinária e/ou intestinal, e disfunção sexual. Metodologia: Revisão integrativa de literatura que incluiu 14 artigos levantados nas bases dados MEDLINE, integrada na plataforma PubMed, BIREME, SciELO, publicados no período 2015 2020. Resultados: Foram incluídos, dentre os selecionados, aqueles em modelo revisões integrativas (n=4), sistemáticas (n=2), estudos observacionais retrospectivos (n=6) prospectivos (n=2). Os evidenciaram insuficiência dos sinais clínicos diagnosticar, isoladamente, SCE. métodos imagem demonstraram-se imprescindíveis para instituição do tratamento. Discussão: SCE não apresenta fator epidemiológico relevante influencie seu desenvolvimento. As red flags , apesar úteis suspeita diagnóstica, tem sensibilidade especificidade variáveis conforme estudos. RM o exame indicado comprovação processo compressivo. abordagem terapêutica considerada padrão-ouro descompressão cirúrgica cauda equina. Conclusão: O diagnóstico precoces influenciam positivamente prognóstico pacientes com SCE, diminuindo risco persistência sequelas neurológicas.
منابع مشابه
CLINICAL REVIEW Cauda equina syndrome
An understanding of cauda equina syndrome is important not only to orthopaedic surgeons and neurosurgeons but also to general practitioners, emergency department staff, and other specialists to whom these patients present. Recognition of the syndrome by all groups of clinicians is often delayed as it presents with bladder, bowel, and sexual problems, which are common complaints and have a varie...
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ژورنال
عنوان ژورنال: Brazilian Journal of Health Review
سال: 2021
ISSN: ['2595-6825']
DOI: https://doi.org/10.34119/bjhrv4n1-260