Cauda equina syndrome

Question 1

what is CES

Answer 1

rare but serious condition
compression of lumbosacral nerve roots

Question 2

causes of CES

Answer 2

• central disc prolapse (L4/4 or L5/S1)
• tumors
• infection
• trauma
• haematoma

Question 3

clinical presentation of CES

Answer 3

• low back pain
• bilateral sciatica
• reduced sensation or pins and needles in perianal area
• decrease anal tone
• urinary dysfunction (incontinence- indicates irreversible damage)

Question 4

Investigation for CES

Answer 4

Urgent MRI

Question 5

Management for CES

Answer 5

Surgical decompression