Cauda Equina Syndrome:_
Cauda equina is a bundle of spinal nerves that arise from the distal end of spinal cord. Compression of these produces a range of s/s collectively called as cauda equina syndrome.
*Causes include disc prolapse, extrinsic or primary cord tumors , spinal stenosis, trauma and abcess formation.
*Suspected pt. should be assessed with full lower limb neurological examination.
*Signs to look :_
Saddle area anesthesia
Incontinence, retention of urine and feaces
Reduced anal tone
Paralysis and sensory loss (may or may not be)
*MRI for confirmation of dignosis