Cauda Equina Syndrome

Question 1

What is cauda equina syndrome?

Answer 1

A syndrome caused by lumbro-sacral nerve compression below the conus medularis.

Question 2

What are the signs and symptoms of cauda equina?

Answer 2

1. Saddle anaesthesia (buttocks, perineum and inner thighs)
2. Sensory disturbance of the lower limbs
3. Motor disturbance of the lower limbs
4. Bladder or bowel incontinence
5. Bilateral sciatica
6. Back pain

Saddle to ride a horse, horse = equina

Question 3

What is the gold standard investigation for CE?

Answer 3

MRI spine within 24 hours

CE is a surgical emergency

Question 4

What is the treatment of CE?

Answer 4

Surgical decompression

Question 5

What are the main causes of CE?

Answer 5

1. Disc prolapse or herniation (most common)
2. Tumours
3. Epidural abscess
4. Pott’s paralegia - spinal tuberculosis
5. Fracture
6. Haematoma

Plus more