Episode 151.0 – Cauda Equina Syndrome
This week we discuss the difficult to diagnose and high morbidity cauda equina syndrome.
Show Notes
Take Home Points
- Cauda equina syndrome is a rare emergency with devastating consequences
- Early recognition is paramount as the presence of bladder dysfunction portends bad functional outcomes
- The presence of bilateral lower extremity weakness or sensory changes should alert clinicians to the diagnosis. Saddle anesthesia (or change in sensation) and any bladder/bowel changes in function should also raise suspicion for the disorder
- MRI is the diagnostic modality of choice though CT myelogram can be performed if necessary
- Prompt surgical consultation is mandatory for all patients with cauda equina syndrome regardless of symptoms at presentation
Read More
EM Cases: Best Case Ever 11: Cauda Equina Syndrome
OrthoBullets: Cauda Equina Syndrome
Radiopaedia: Cauda Equina Syndrome
Perron AD,
