Cauda Equina Syndrome Flashcards
1
Q
What is Cauda Equina Syndrome?
A
Compression of the nerve roots distal to the conus medullaris
2
Q
What is the job of S2-S4?
A
Control bladder and anal sphincter function
3
Q
What are the causes of Cauda Equina Syndrome?
A
Central disk herniation
Epidural abscess
Epidural hematoma
Vertebral burst fracture
4
Q
Is Cauda Equina Syndrome a surgical emergency?
A
YES
5
Q
What are the s/s of Cauda Equina Syndrome?
A
- Radicular pain and numbness in both legs
- Perineal numbness in saddle distribution
- Symmetric lower extremity weakness/paralysis
6
Q
What is observed in physical exam of Cauda Equina Syndrome?
A
- Difficulty raising from a seated position
- Unable to heel and toe walk
- Anal sphincter tone
- Motor and sensory exam
7
Q
What is the imaging used in Cauda Equina Syndrome?
A
MRI
CT myelogram
8
Q
What is included in the DDX of Cauda Equina Syndrome?
A
Guillain-Barre syndrome Herniated lumbar disc Metastatic tumor Multiple sclerosis Spinal cord tumor
9
Q
What is the treatment of Cauda Equina Syndrome?
A
IMMEDIATE decompression surgery
