Cauda equina syndrome
Cauda equina syndrome | ||
Cauda equina and filum terminale seen from behind. | ||
ICD-10 | G83.4 | |
ICD-9 | 344.6 | |
DiseasesDB | 31115 | |
MeSH | C10.668.829.800.750.700 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Joanna Ekabua, M.D. [2]
Overview
Cauda equina syndrome is an emergency medical condition requiring acute intervention to prevent permanent neurological damage to the urinary bladder, Intestine, [[Sex organ] and lower limbs.
Historical perspective
Classification
Pathophysiology
Causes
Cauda equina syndrome may be caused by[1]
Differentiating cauda equina syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
The most common symptoms of cauda equina syndrome include[1]
- Intermittent Lower back pain radiating to the lower extremities.
- Decreased muscle strength bilaterally
- Fecal incontinence
- Urinary incontinence
Physical Examination
- Hypesthesia[1]
- Lasegue sign[1]
- Decreased knee and ankle reflex bilaterally. [1]
Laboratory findinds
X-ray
Ultrasound
CT Scan
- CT scans show herniated nucleus pulposus at the L4/5 level.
MRI
- In Lumbar disc herniation, MRI shows a disc mass filling most of the spinal canal compressing the cauda equina.[1]
Other Imaging Findings
Other Imaging Findings
Treatment
Medical Treatment
Surgery
Surgery is the mainstay of treatment for cauda equina syndrome. Procedures used include[1]
- Hemilaminectomy
- Transforaminal lumbar interbody infusion
Primary Prevention
Secondary Prevention
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Luo D, Ji C, Xu H, Feng H, Zhang H, Li K (2020). "Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report". Medicine (Baltimore). 99 (7): e19025. doi:10.1097/MD.0000000000019025. PMC 7035013 Check
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value (help). PMID 32049799 Check|pmid=
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