Leg Pain, Weakness, And Saddle Anesthesia

Consult Page

31F pregnant with leg weakness and pain. MRI with severe compression.

Initial Imaging

Walking Thoughts

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  What is the patient’s neurological exam?

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  What symptoms does the patient have? What is the timeline of her symptoms?

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  Does the patient have any history of recent trauma?

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  Is there concern for cauda equina syndrome?

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  What is the patient’s postvoid residual or bladder scan?

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  Does the patient need urgent or emergent surgery?

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  What is the patient’s gestational age and pregnancy history?

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  What comorbidities or medical conditions would preclude surgery or need to be optimized before surgery?

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  Does the patient need any additional imaging?

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  Is the patient on any anticoagulant or antiplatelet medication?