Cauda Equina Syndrome
(CES)
Clinical features
- low back pain
-
unilateral or bilateral sciatica
- motor weakness of the lower extremities
- sensory disturbance including saddle anesthesia
- loss of visceral function (bladder and bowel incontinence)
Etiologies
- disc herniation
- trauma
- spinal stenosis
- tumors : primary and secondary
- arteriovenous malformation
- hemorrhage (subarachnoid, subdural, epidural)
- ankylosing spondylitis
- iatrogenic causes:
continuous spinal anesthesia
infection
postsurgery
postintradiscal therapy
postchiropractic manipulation
|