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CEN Tip of the Day - Cauda Equina Syndrome

Updated: May 22, 2022

Etiology: Fall onto coccyx, abscess, tumor, or herniated disk leads to compression of the lumbosacral nerve roots “horse-tail”.

S/S: low back pain, urinary retention (90%) followed by incontinence, sciatica, bowel retention or incontinence, saddle anesthesia, loss of DTR’s, loss of rectal tone, sexual dysfunction.


TX: Neurosurgical or orthopedic consult for emergency surgery

Reference: Pamela Bartley: Books, Biography, Blog, Audiobooks, Kindle

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