Cauda equina syndrome: Difference between revisions

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'''History and Symptoms'''
'''History and Symptoms'''


The most common symptoms of cauda equina syndrome include<ref name="pmid32049799">{{cite journal| author=Luo D, Ji C, Xu H, Feng H, Zhang H, Li K| title=Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report. | journal=Medicine (Baltimore) | year= 2020 | volume= 99 | issue= 7 | pages= e19025 | pmid=32049799 | doi=10.1097/MD.0000000000019025 | pmc=7035013 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32049799  }} </ref>
The most common symptoms of cauda equina syndrome include
*Intermittent [[low back pain|Lower back pain]] radiating to the lower extremities.  
*Intermittent [[low back pain|Lower back pain]] radiating to the lower extremities.  
*Decreased [[Muscle weakness|muscle strength]] bilaterally
*Decreased [[Muscle weakness|muscle strength]] bilaterally.<ref name="pmid32049799">{{cite journal| author=Luo D, Ji C, Xu H, Feng H, Zhang H, Li K| title=Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report. | journal=Medicine (Baltimore) | year= 2020 | volume= 99 | issue= 7 | pages= e19025 | pmid=32049799 | doi=10.1097/MD.0000000000019025 | pmc=7035013 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32049799  }} </ref>
*[[Fecal incontinence]]
*[[Fecal incontinence]]<ref name="pmid32049799">{{cite journal| author=Luo D, Ji C, Xu H, Feng H, Zhang H, Li K| title=Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report. | journal=Medicine (Baltimore) | year= 2020 | volume= 99 | issue= 7 | pages= e19025 | pmid=32049799 | doi=10.1097/MD.0000000000019025 | pmc=7035013 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32049799  }} </ref>
*[[Urinary incontinence]]
*[[Urinary incontinence]]/ [[urinary retention|retention]]<ref name="pmid31923259">{{cite journal| author=Srikandarajah N, Noble A, Clark S, Wilby M, Freeman BJC, Fehlings MG | display-authors=etal| title=Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies. | journal=PLoS One | year= 2020 | volume= 15 | issue= 1 | pages= e0225907 | pmid=31923259 | doi=10.1371/journal.pone.0225907 | pmc=6953762 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31923259  }} </ref><ref name="pmid32049799">{{cite journal| author=Luo D, Ji C, Xu H, Feng H, Zhang H, Li K| title=Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report. | journal=Medicine (Baltimore) | year= 2020 | volume= 99 | issue= 7 | pages= e19025 | pmid=32049799 | doi=10.1097/MD.0000000000019025 | pmc=7035013 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32049799  }} </ref>


'''Physical Examination'''
'''Physical Examination'''

Revision as of 03:30, 14 July 2020

Cauda equina syndrome
Cauda equina and filum terminale seen from behind.
ICD-10 G83.4
ICD-9 344.6
DiseasesDB 31115
MeSH C10.668.829.800.750.700

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Joanna Ekabua, M.D. [2]

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Overview

Cauda equina syndrome is an emergency medical condition requiring acute intervention in the form of acute decompression surgery to prevent permanent neurological damage to the urinary bladder, Intestine, sex organs and lower limbs.

Historical perspective

Classification

Cauda equina syndrome may be classified into Complete and incomplete.[1]

Pathophysiology

Causes

Cauda equina syndrome may be caused by[2]

Differentiating cauda equina syndrome from other Diseases

Epidemiology and Demographics

The incidence of cauda equina syndrome is 2 per 100,000 world wide.[1]

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

The most common symptoms of cauda equina syndrome include

Physical Examination

Laboratory findinds

X-ray

Ultrasound

CT Scan

  • CT scans show herniated nucleus pulposus at the L4/5 level.

MRI

Other Imaging Findings

Other Imaging Findings

Treatment

Medical Treatment

Surgery

Surgery is the mainstay of treatment for cauda equina syndrome. Procedures used include[2]

Primary Prevention

Secondary Prevention

References

  1. 1.0 1.1 1.2 Srikandarajah N, Noble A, Clark S, Wilby M, Freeman BJC, Fehlings MG; et al. (2020). "Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies". PLoS One. 15 (1): e0225907. doi:10.1371/journal.pone.0225907. PMC 6953762 Check |pmc= value (help). PMID 31923259.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 Luo D, Ji C, Xu H, Feng H, Zhang H, Li K (2020). "Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report". Medicine (Baltimore). 99 (7): e19025. doi:10.1097/MD.0000000000019025. PMC 7035013 Check |pmc= value (help). PMID 32049799 Check |pmid= value (help).

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