Cauda equina syndrome

	WikiDoc Resources for Cauda equina syndrome
Articles
Most recent articles on Cauda equina syndrome Most cited articles on Cauda equina syndrome Review articles on Cauda equina syndrome Articles on Cauda equina syndrome in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Cauda equina syndrome Images of Cauda equina syndrome Photos of Cauda equina syndrome Podcasts & MP3s on Cauda equina syndrome Videos on Cauda equina syndrome
Evidence Based Medicine
Cochrane Collaboration on Cauda equina syndrome Bandolier on Cauda equina syndrome TRIP on Cauda equina syndrome
Clinical Trials
Ongoing Trials on Cauda equina syndrome at Clinical Trials.gov Trial results on Cauda equina syndrome Clinical Trials on Cauda equina syndrome at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Cauda equina syndrome NICE Guidance on Cauda equina syndrome NHS PRODIGY Guidance FDA on Cauda equina syndrome CDC on Cauda equina syndrome
Books
Books on Cauda equina syndrome
News
Cauda equina syndrome in the news Be alerted to news on Cauda equina syndrome News trends on Cauda equina syndrome
Commentary
Blogs on Cauda equina syndrome
Definitions
Definitions of Cauda equina syndrome
Patient Resources / Community
Patient resources on Cauda equina syndrome Discussion groups on Cauda equina syndrome Patient Handouts on Cauda equina syndrome Directions to Hospitals Treating Cauda equina syndrome Risk calculators and risk factors for Cauda equina syndrome
Healthcare Provider Resources
Symptoms of Cauda equina syndrome Causes & Risk Factors for Cauda equina syndrome Diagnostic studies for Cauda equina syndrome Treatment of Cauda equina syndrome
Continuing Medical Education (CME)
CME Programs on Cauda equina syndrome
International
Cauda equina syndrome en Espanol Cauda equina syndrome en Francais
Business
Cauda equina syndrome in the Marketplace Patents on Cauda equina syndrome
Experimental / Informatics
List of terms related to Cauda equina syndrome

	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]

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]

Lumbar disc herniation

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^[2]

Intermittent Lower back pain radiating to the lower extremities.
Decreased muscle strength bilaterally
Fecal incontinence
Urinary incontinence

Physical Examination

Hypesthesia^[2]
Lasegue sign^[2]
Decreased knee and ankle reflex bilaterally. ^[2]

Laboratory findinds

X-ray

Ultrasound

CT Scan

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

MRI

In Lumbar disc herniation, MRI shows a disc mass filling most of the spinal canal compressing the cauda equina.^[2]

Other Imaging Findings

Treatment

Medical Treatment

Surgery

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

Hemilaminectomy
Transforaminal lumbar interbody infusion

Primary Prevention

Secondary Prevention

References

↑ ^1.0 ^1.1 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.
↑ ^2.0 ^2.1 ^2.2 ^2.3 ^2.4 ^2.5 ^2.6 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).

Template:Neuroscience-stub Template:Cerebral palsy and other paralytic syndromes [{Category:Needs patient information]] de:Cauda-equina-Syndrom

Template:WikiDoc Sources

[pmid31923259-1] 1.0 ^1.1 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.

[pmid32049799-2] 2.0 ^2.1 ^2.2 ^2.3 ^2.4 ^2.5 ^2.6 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).

[1]

[2]


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