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Cauda equina syndrome causes compression of the spinal nerves. It's a neurological emergency that must be identified and fast tracked to the operating room. “The failure to timely diagnose and treat acute cauda equina syndrome will likely be a battle of the experts in the courthouse. What is important is identification of every failure [...]
Dr. Greg Vigna comments on hospitals' failure to diagnose spinal cord injuries, leading to catastrophic repercussions for the patient. “Approximately 50% of patients who sustained a spinal cord injury that were misdiagnosed by hospital personnel will result in neurological deterioration.” - Greg Vigna, MD, JD The primary reasons for a failure to diagnose a [...]
In practice, many patients with CES have presentations that are chronic or subacute that are indolent and often overlooked by careless medical providers. Acute cauda equina syndrome (CES) is a neurosurgical emergency that requires an MRI of thelumbar spine immediately after presenting to the emergency room and then fast tracked to the operating room [...]
Nitrous oxide has been known for years to cause acute B12 deficiency spinal cord injuries resulting in paraplegia and quadriplegia that is often not reversible. Nitrous oxide, also referred to as “laughing gas,” is a commonly used party drug by high school and college students across the country and is purchased insmall metal canisters [...]
Acutely injured patients with spinal cord and traumatic brain injuries are at risk for hospital acquired deep Grade III and Grade IV decubitus ulcers. Acutely injured patients with spinal cord injured and traumatic brain injuries are at risk for hospital acquired deep Grade III and Grade IV decubitus ulcer (bed sores). The management of [...]
Despite significant advancement in the medical management of the neurogenic bladder, much more needs to be done."'Will he ever walk again?' is the inevitable first question I have been asked by dozens of family members outside the hospital room of a newly injured spinal cord patient," says Greg Vigna, MD, JD, and practicing spinal cord injury [...]
Symptoms of cauda equina syndrome are diverse among patients and require a multidisciplinary approach from multiple healthcare professionals. The caudal equina refers to the nerves that continue down the spinal canal after the spinal cord ends at lumbar levels L1-2. These nerves control motor and sensory function of the lower extremity and provide motor [...]