Ep 164 – Cauda equina syndrome
Cauda equina syndrome (CES) is caused by compression of the lumbosacral nerve roots that extend below the spinal cord. The most common cause is disc prolapse at the L4/5 or L5/S1 level and stenosis of the spinal canal. Less commonly, compression may be due to pathology in a higher disc or to a tumour, infection or trauma. Typical symptoms and signs of CES include leg and/or back pain, together with one or more of: bladder or bowel dysfunction; altered perianal, perineal or genital sensation; motor weakness affecting both legs; sexual dysfunction. It is a medical emergency and a missed…
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