Spinal cord and nerve root compression
Framing
- Spinal cord and nerve root compression share a mechanical compressive mechanism but differ in urgency and presentation - cord compression threatens irreversible paralysis and is a neurosurgical/oncological emergency, while isolated nerve root compression (radiculopathy) is usually managed conservatively unless progressive weakness or cauda equina features develop
- Cauda equina syndrome is the critical red-flag variant of nerve root compression (compression of the lumbosacral nerve roots below the cord) requiring emergency imaging and decompression to prevent permanent bladder/bowel/sensory dysfunction
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