Abstract
Cauda equina syndrome (CES) is a potentially devastating neurological condition in which the lumbosacral nerve roots become compressed. Signs and symptoms are lower extremity weakness, paraplegia, sensory changes, muscle atrophy, absent/reduced reflexes, and bowel, bladder, and sexual dysfunctions. Assess lower extremity strength, sensation, reflexes, tone, gait, proprioception, anal sphincter tone, and perianal sensation. “Saddle anesthesia” of the perineum, inner thighs, and/or buttocks is a telling sign. MRI of the lumbosacral spine can demonstrate neurological compromise of the cauda equina. The treatment is immediate neurosurgical evaluation or referral to the emergency room. Refer to physiatry for subacute/chronic issues.
References
Kirshblum S, Gonzalez P, Nieves J, Cuccurullo S, Luciano L. Spinal cord injuries (SCI). In: Cuccurullo J, editor. Physical medicine and rehabilitation board review. 2nd ed. New York: Demos Medical; 2010. p. 557–8.
Cooper AB, Sharpe MD. Bacterial meningitis and cauda equina syndrome after epidural steroid injections. Can J Anaesth. 1996;43:471–4.
Cauda Equina Syndrome. American Association of Neurological Surgeons Web site. http://www.aans.org/Patient%20Information/Conditions%20and%20Treatments/Cauda%20Equina%20Syndrome.aspx. Published Nov 2005. Accessed Feb 2015.
Spengler D. Cauda Equina syndrome. In: Sarwark J, editor. Essentials of musculoskeletal care. 4th ed. Rosemont: American Academy of Orthopedic Surgeons; 2010. p. 919–21.
Cauda Equina Syndrome. PatientPlus Web site. http://www.patient.co.uk/doctor/cauda-equina-syndrome#ref-4. Updated 8 Feb 2013. Accessed Feb 2015.
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Hatgis, J., Hall, A.J. (2017). Cauda Equina Syndrome. In: Kahn, S., Xu, R. (eds) Musculoskeletal Sports and Spine Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-50512-1_99
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DOI: https://doi.org/10.1007/978-3-319-50512-1_99
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