Cauda Equina Syndrome

Question 1

define

Answer 1

this is pressure (usually a prolapsed disc) on all lumbosacral nerve roots including those that control bladder and bowel function

Question 2

why is this a surgical emergency

Answer 2

prolonged compression can cause permanent damage

Question 3

presentation

Answer 3

bilateral lower motor neurone signs
bladder and bowel dysfunction
saddle anaesthesia
loss of anal tone

Question 4

diagnosis

Answer 4

PR examination

MRI to determine level fo prolapse

Question 5

management

Answer 5

urgent discectomy (significant number of patients still have permanent bladder and bowel dysfunction)