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Cauda Equina Syndrome

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  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 bladder Incontinence
  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)

ConceptsDisease or Syndrome (T047)
ICD9344.6
MSHD011128
EnglishCauda Equina Syndrome, Cauda Equina Syndromes
Spanishsindrome de la cauda equina, sindrome de la cola de caballo
Parent ConceptsOther paralytic syndromes (C0154700), Syndrome (C0039082), Non-Neoplastic Peripheral Nervous System Disorder (C1335029), Lumbosacral radiculopathy (C0154738), Cauda Equina Syndrome (C0392548), Lesions of nerves plexuses and roots (C0582681), Ambiguous concept (C1274012)
SourcesDXP, ICD9CM, MSH, MTH, NCI, OMIM, QMR, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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