Cauda Equina Syndrome ☺️ Flashcards
1
Q
Presentation
A
Low back pain
Bilateral sciatica => shooting pains down both legs
Reduced sensation/tingling in perianal region
Low anal tone
Urinary/bowel incontinence, reduced awareness of filling
2
Q
Pathophysiology
Possible causes
-most common
A
Compression of lumbosacral nerve roots under L2
MOST COMMON - L4/5, L5S1 disc prolapse
- tumour
- infection
- trauma
- hematoma
3
Q
Investigations
Management
A
URGENT MRI TO EXCLUDE CES
IF POSITIVE => URGENT NEUROSURGICAL DECOMPRESSION
