What are the causes of Cauda Equina Syndrome?
Causes of Cauda Equina damage can be separated into those that are present at birth (congenital), and those acquired after birth. Congenital causes of CES: • Spina bifida (abnormality in closure of spinal canal) • Tumours of the cauda equina Acquired causes of CES: • Injury (spinal fractures) • Secondary to medical procedures • Intravertebral disc herniation • Tumours of the cauda equina • Vascular (blood vessel) problems of the cauda equina • Infections (eg CMV, cytomegalovirus) of the cauda equina Diagnosis & treatment Although you need early treatment to prevent permanent problems, CES may be difficult to diagnose. Symptoms vary in intensity and may evolve slowly over time. Symptoms may be: • Severe pain in the back, buttocks, perineum (saddle rea), genitals, thighs, legs. • Loss of sensation – often tingling or numbness in the saddle area. • Weakness in legs • Bladder/bowel/sexual dysfunction • Loss of reflexes To diagnose CES your doctor will probably evaluate your medical history
