Does MRI show cauda equina syndrome? What is the significance of the Conus Medullaris? Where should the Conus Medullaris end? What is the function of Conus Medullaris? Structure and Function. What is the Conus Medullaris made of? How do you get cauda equina syndrome?
Can cauda equina cause death? Can you have mild cauda equina? Slipped disc and sciatica. What is the best treatment for cauda equina syndrome? Can you walk with cauda equina? What happens if cauda equina is not treated? Can a bulging disc cause cauda equina? StatPearls [Internet]. Search term. Author Information Authors Loana S. Affiliations 1 Aventura Hospital and Medical Center. Continuing Education Activity Cauda equina and conus medullaris syndromes have overlap in anatomy and clinical presentation.
Introduction Cauda equina and conus medullaris syndromes have overlap in anatomy and clinical presentation. Epidemiology Cauda equina syndrome and conus medullaris syndrome are rare, with an estimated prevalence of 1 in 30, to , people per year.
Motor or sensory deficits in the legs — usually bilateral but can also be unilateral and asymmetrical particularly in cases with an incomplete injury. Lower motor neuron signs in the legs — areflexia, hypotonia, atrophy in cases of chronic cord compression resulting in CES.
Palpable bladder indicating urinary retention [3]. Differential Diagnosis The differential diagnosis centers on non-compressible causes of spinal cord dysfunction such as: Spinal cord infarct. Prognosis Several studies have looked at prognosis and outcomes based on the timing of surgical decompression. Complications Complications in cauda equina syndrome and conus medullaris syndrome occur in a large percentage of those diagnosed.
Enhancing Healthcare Team Outcomes The involvement and effective collaboration of the entire healthcare team is essential in any patient encounter, but even more so in cases where the presentation requires urgency in proper diagnosis and management.
Review Questions Access free multiple choice questions on this topic. Comment on this article. Figure Cauda Equina Syndrome. Image courtesy S Bhimji MD. References 1. Definitions of traumatic conus medullaris and cauda equina syndrome: a systematic literature review. Spinal Cord. Quaile A.
Cauda equina syndrome-the questions. Int Orthop. Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction. Eur Spine J. Gradually and affecting one side of the body. Pain level Mild to moderate Severe Numbness Tends to be more localized to the area around the anus.
There may also be numbness in the public areas. Less frequent. Weakness to flaccid paralysis. Reflexes impacted Achilles ankle jerk reflex. Patellar knee jerk and Achilles reflexes. Treatment There is no single treatment. Depending on testing results, treatment may include surgery, radiation, antibiotics, and physical therapy There is no single treatment. Conus medullaris frequently causes impotence.
In CES, impotence is absent. Mnemonic: Conus involves a conical structure If you know what I mean ; Or conus bonus of no boner.
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