(C72.1) Malignant neoplasm: cauda equina

Malignant neoplasm of the cauda equina is a rare form of cancer that affects the nerves at the base of the spinal cord. it is caused by the uncontrolled growth of abnormal cells in the cauda equina, which can compress and damage the nerves, leading to a variety of neurological symptoms such as pain, weakness, numbness, and bladder and bowel dysfunction.

The pathogenesis of malignant neoplasm of the cauda equina is thought to involve the development of a cancerous tumor in the spine which then invades the nerve roots of the cauda equina. this can lead to compression of the nerves and can cause neurological symptoms such as pain, weakness, and sensory disturbances. in some cases, the tumor can spread to other areas of the body, leading to further complications.

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• Physical examination
• Imaging tests (MRI, CT scan, X-ray)
• Electromyography (EMG)
• Spinal tap (lumbar puncture)
• Biopsy
• Blood tests

Additions:

• Tumor marker tests
• Ultrasound

Main goal of the treatment: To reduce the symptoms of Cauda equina and improve the patient's quality of life.

• Tumor resection surgery
• Radiation therapy
• Chemotherapy
• Intrathecal chemotherapy
• Stereotactic radiosurgery
• Spinal cord stimulation
• Physical therapy
• Occupational therapy
• Pain management
• Psychological counseling

The best way to prevent cauda equina is to maintain a healthy lifestyle, including regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption. additionally, it is important to be aware of any changes in the body and to seek medical attention if any symptoms arise.