Cauda Equina Syndrome

Question 1

CES Sx

Answer 1

1. Lower back pain
2. Saddle anaesthesia
3. LL weakness
4. Urinary retention/incontinence
5. Faecal incontinence
6. reduced anal sphincter tone

Question 2

CES Mx (primary causes)

Answer 2

Surgical decompression within 48 hours

Question 3

suspected CES Ix

Answer 3

MRI whole spine

Question 4

CES Mx secondary to metastasis

Answer 4

IV dexametasone 8mg BD

To reduce inflammation/oedema of the met tumour