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.
DX: MRI
TX: Neurosurgical or orthopedic consult for emergency surgery
Reference:
http://www.emdocs.net/em3am-cauda-equina-syndrome/
https://coreem.net/core/cauda-equina-syndrome/