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Cauda Equina Syndrome

Aka: Cauda Equina Syndrome
  1. See Also
    1. Lumbar Stenosis
  2. Pathophysiology
    1. Massive Central DIsc protrusion
    2. Compression of lumbar spinal nerve roots
  3. Causes
    1. Large Central DIsc herniation
    2. Lumbar Spinal Stenosis
    3. Lumbar spondylosis with cauda equina compression
  4. Symptoms
    1. Bilateral Sciatica
      1. See also Lumbar Stenosis for extensive description
      2. Dull aching pain in perineum, Bladder or Sacrum
      3. Radiation to Buttock and leg
      4. Provoked by Exercise or prolonged standing
      5. Relieved with rest or forward bending
    2. Neurologic Changes
      1. Saddle anesthesia
      2. Bowel or BladderIncontinence
  5. Signs: Foot drop
    1. Ankle dorsiflexion bilateral weakness
    2. Absent Ankle Jerk
  6. Radiology (See Lumbar Stenosis)
    1. L-Spine MRI
  7. Management
    1. Neurologic Deficits suggest Cauda Equina Syndrome
    2. Immediate Neurosurgery Consultation
  8. Prognosis
    1. Wait >72 hours risks permanent neurologic deficit

Cauda Equina Syndrome (C0392548)

Concepts Disease or Syndrome (T047)
MSH D011128
ICD9 344.6
ICD10 G83.4
SnomedCT 89356000, 192973005, 192970008, 155032006, 192972000
English CAUDA EQUINA SYNDROME, Cauda equina syndrome, NOS, Cauda equina syndrome NOS, cauda equina syndrome, cauda equina syndrome (diagnosis), Cauda Equina Syndromes, Syndrome, Cauda Equina, Syndromes, Cauda Equina, Cauda equina syndrome NOS (disorder), cauda equinas syndrome, lumbosacral syndrome, syndrome cauda equina, Lumbosacral syndrome, Cauda equina syndrome, Cauda equina syndrome (disorder), cauda equina; syndrome, syndrome; cauda equina, Cauda equina syndrome (disorder) [Ambiguous], Cauda Equina Syndrome
Italian Cauda Equina, Sindrome lombo-sacrale
Dutch lumbosacraal syndroom, cauda equina; syndroom, syndroom; cauda equina, cauda equina syndroom, Cauda-equinasyndroom
French Syndrome lombosacré, Syndrome de la queue de cheval
German Lumbosakralsyndrom, Cauda-equina-Syndrom, Cauda- (equina-) Syndrom, Cauda equina Syndrome
Portuguese Síndrome lombossagrada, Síndrome da Cauda Equina, Síndrome da cauda equina
Spanish Síndrome lumbosacro, Cauda equina syndrome, Síndrome de Cauda Equina, Sindrome de Cauda Equina, síndrome de la cauda equina, SAI, síndrome de la cauda equina, síndrome de la cola de caballo (concepto no activo), síndrome de la cola de caballo (trastorno), síndrome de la cola de caballo, SAI (trastorno), síndrome de la cola de caballo, SAI, síndrome de la cola de caballo, Síndrome de cauda equina
Japanese 馬尾症候群, 腰仙部症候群, ﾖｳｾﾝﾌﾞｼｮｳｺｳｸﾞﾝ, ﾊﾞﾋﾞｼｮｳｺｳｸﾞﾝ
Czech Syndrom cauda equina, Lumbosakrální syndrom
Korean 말총증후군
Hungarian Cauda equina syndroma, Lumbosacralis syndroma
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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