Cauda Equina Syndrome (cont.)
IN THIS ARTICLE
- Cauda Equina Syndrome Overview
- Cauda Equina Syndrome Causes
- Cauda Equina Syndrome Symptoms
- When to Seek Medical Care
- Questions to Ask the Doctor
- Exams and Tests
- Cauda Equina Syndrome Treatment
- Self-Care at Home
- Medical Treatment
- Medications
- Surgery
- Next Steps
- Follow-up
- Prevention
- Outlook
- Support Groups and Counseling
- For More Information
- Web Links
- Multimedia
- Synonyms and Keywords
- Authors and Editors
Exams and Tests
The initial diagnosis of cauda equina syndrome is made based on findings from the individual's history, symptoms, and physical exam. The physical exam includes testing muscle strength of the lower extremities, evaluating sensation to touch and pain, especially around the groin (perineum), checking the lower extremity reflexes, and evaluating rectal tone, sensation, and reflex.
Imaging studies helpful in the diagnosis include plain x-ray films of the lower back to assess for evidence of trauma or severe arthritis (degenerative changes). MRI with and without contrast provides a detailed look at tumors, infection, intervertebral disks, and nerve roots. This study allows the doctor to determine if the nerves are being compressed, to what degree, and by what structures. Findings from these studies help the surgeon plan the appropriate treatment.
Not all people with back pain and/or leg pain and changes in bowel or bladder function have cauda equina syndrome. More common causes of bladder changes are urinary tract infections, which can be identified by a simple urine test, and diabetes, which can be identified with blood tests.
People with symptoms suggesting a possible infection or tumor should be further evaluated with blood and other tests to identify any abnormalities.
Next: Cauda Equina Syndrome Treatment »
Important Safety Information
Vimpat (lacosamide) is a medicine that is used with other medicines to treat partial onset seizures in patients 17 years of age and older with epilepsy. Vimpat is generally well-tolerated, but may not be for everyone. Ask your doctor if Vimpat is right for you. Antiepileptic drugs, including Vimpat, may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call your healthcare provider right away if you have new or worsening symptoms of depression, any unusual changes in mood or behavior, or suicidal thoughts, behavior, or thoughts about self harm that you have never had before or may be worse than before. Please see additional patient information in the Medication Guide at the end of the full prescribing information. This information does not take the place of talking with your healthcare provider about your condition or your treatment. Please see additional Patient Safety Information
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Cauda Equina Syndrome »
The cauda equina (CE) is formed by nerve roots caudal to the level of spinal cord termination.


