Cauda Equina Syndrome

Question 1

List six features that would suggest cauda equina syndrome.

Answer 1

1. Sciatic back pain
2. Hx of sciatica
3. Bilateral lower limb weakness and sensory deficit
4. Saddle anaesthesia
5. Urinary incontinence
6. Loss of anal tone
7. Absent ankle reflexes

Question 2

What is the immediate mgt of suspected or confirmed cauda equina syndrome?

Answer 2

• Bed-rest w/ pressure-relieving mattress
• Analgesia
• Neurosurgical consult for decompression
• Bladder scan +/- IDC