What is Cauda Equina Syndrome or CES ?
Cauda Equina Syndrome is a neurological condition and is generally considered as a form of spinal cord injury. The cauda equina, otherwise known as the horse’s tail, is called this because of its appearance. It is situated at the lower end of the spinal cord. The spinal cord is shorter than the spinal canal in which it runs. It ends at the first or second lumbar vertebrae. The cauda equina contains the nerve roots from L1-5 and S1-5. Cauda equina syndrome can often be caused by compression of this group of nerves. It has been defined as low back pain, sciatica with pain in one or both legs, sensory disturbance around the saddle area, loss or altered function of the bladder and bowel, and variable lower extremity motor and sensory loss. These nerve roots are very susceptible to injury. Cauda equina syndrome is considered a surgical emergency because if left untreated it can lead to permanent loss of bowel and bladder control, loss of sexual function and paralysis of the legs.
