Cauda Equina Syndrome Flashcards
(1) is a bundle of nerves that spread out from the bottom of the spinal cord
(2) syndrome is the medical term for a group of symptoms that happen when some of the nerves in the cauda equina get squeezed or damaged.
Overview of Cauda Equina Syndrome
(1) A herniated disc - The material from a ruptured disc can press on or irritate the nerves in the cauda equina
(2) Infection or inflammation - Different types of infection or inflammation can damage or irritate nerves in the cauda equina.
(3) Cancer - In people with cancer, tumors can form within the spine and press on the nerves in the cauda equina.
(4) Spinal stenosis - Spinal stenosis is a condition in which the vertebrae form bumps called bone spurs. These bumps can squeeze or press on the nerves in the cauda equina. In people with spinal stenosis, the discs between the vertebrae also tend to dry up and shrink. That causes the space between the vertebrae to get smaller, sometimes pinching nerves.
Cauda Equina Syndrome:
Pathophysiology
(1) Pain, numbness, or tingling in the lower back and spreading down 1 or both legs
(2) Leg weakness or a problem called “foot drop,” which is when you cannot seem to hold your foot up (for example, while walking)
(3) Problems with bowel or bladder control
(4) Problems with sex
Cauda Equina Syndrome:
Clinical presentation
(1) Cauda equina syndrome is a medical emergency. MEDIVAC
(2) Likely needs MRI for assessment
(3) Treatment for cauda equina syndrome involves treating whatever is affecting the nerves and causing the symptoms.
(4) Often, that means having surgery to remove bits of bone or discs, or tumors.
(5) If the cause is an infection or inflammation, medications to treat those problems might
be needed.
Cauda Equina Syndrome:
Treatment