skip to main content

Spinal epidural haematoma — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

HardNeurological emergenciesSpinal epidural haematomaRCPSC EM

A 67-year-old on warfarin has sudden back pain after lifting, progressive leg weakness and urinary retention. INR is 4.6 and perianal sensation is reduced. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Spinal epidural haematoma causing cauda equina syndrome

Anticoagulation, acute back pain, neurologic deficit and bladder dysfunction suggest compressive spinal epidural haematoma/cauda equina.

Reference: Canadian neurosurgical emergency practice; spinal emergency standards