Spinal Emergencies in Primary Care Practice

Jacob M. Babu, Shyam A. Patel, Mark A. Palumbo, Alan H. Daniels

Research output: Contribution to journalReview articlepeer-review

Abstract

Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency departments. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Permanent neurologic sequela and even death can result if delays in appropriate treatment occur. A focused, critical review of 34 peer-reviewed articles was performed to identify current data about accurate diagnosis of spinal emergencies. This review highlights the key features of these 3 pathological entities with an emphasis on appropriate diagnostic strategy to intervene efficiently and minimize morbidity.

Original languageEnglish (US)
Pages (from-to)300-306
Number of pages7
JournalAmerican Journal of Medicine
Volume132
Issue number3
DOIs
StatePublished - Mar 2019
Externally publishedYes

Keywords

  • Cauda equina syndrome
  • Spinal emergencies
  • Spinal epidural abscess
  • Spinal epidural hematoma

ASJC Scopus subject areas

  • Medicine(all)

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