Cauda Equina Synd

Question 1

Pathophys

Answer 1

Cauda equina is collec of L1-S5 periph Ns in L canal
Termin spinal N root comp in LS region. LMN lesion.
Occurs in 1-6% of L disc herniat
Causes- SOL in canal eg disc hern, sten, tum, trauma, epidural haematoma or abcess.

Question 2

Clnical feats

Answer 2

Bilat sciatic pain
Bowel and bladder dysfunc
Saddle anaes
Low extremity sensorimotor change
Reduc anal tone
Sex dysfunc

Question 3

Ix

Answer 3

MRI

Or CT myelography

Question 4

mx

Answer 4

Sergic decomp in 48hr- discectomy or laminectomy

Question 5

complics

Answer 5

Sex dysfunc
Urin dysfunc and catherisat
Chronic pain
Persis leg weakn