Ver el código de «Cauda equina syndrome»

==Background==
[[File:Gray662.png|thumb|Cauda equina and filum terminale seen from behind. The dura mater has been opened and spread out, and the arachnoid mater has been removed.]]
*The cauda equina (Latin for "horse's tail") begins at the 2nd Lumbar space extending down to the beginning of the sacral nerves.  It is distal to the tapered end of the spinal cord, or conus medularis.<ref>Cohen MS, Wall EJ, Kerber CW, et al. The Anatomy of the Cauda Equina on CT Scans and MRI.  J Bone Joint Surg Br 1991; 73 (3): 381-84.</ref>

{{Epidural compression syndromes types}}

==Clinical Features==
[[File:Saddle anesthesia.png|thumb|Approximate area of "saddle anesthesia" seen from posterior (yellow highlight).]]

*Most common in young men<ref>Rider LS, Marra EM. Cauda Equina And Conus Medullaris Syndromes. In: StatPearls. StatPearls Publishing; 2023. Accessed March 29, 2023. http://www.ncbi.nlm.nih.gov/books/NBK537200/</ref>
*The onset of perineal anesthesia associated with bladder dysfunction is typical of the start of cauda equina syndrome and the time at which the clock starts on diagnosis and management.<ref>Quaile A. Cauda equina syndrome-the questions. Int Orthop. 2019;43(4):957-961. doi:10.1007/s00264-018-4208-0</ref>
*The most common presenting symptom is urinary retention with or without resultant overflow urinary incontinence.
**Painless urinary retention often has the greatest predictive value as a stand-alone symptom, but it is unfortunately indicative of late, often irreversible cauda equina syndrome<ref>Todd NV. Guidelines for cauda equina syndrome. Red flags and white flags. Systematic review and implications for triage. Br J Neurosurg. 2017;31(3):336-339. doi:10.1080/02688697.2017.1297364</ref>
{{Epidural compression syndromes clinical}}

==Differential Diagnosis==
{{Lower back pain DDX}}

{{Spinal cord syndromes DDX}}

==Evaluation==
[[File:MRI of the lumbar spine with abscess in the posterior epidural space, causing cauda equina syndrome.jpg|thumb|MRI of an abscess causing cauda equina syndrome.]]
{{Epidural compression syndromes diagnosis}}

==Management==
{{Epidural compression syndromes management}}
*Consider [[dexamethasone]] 4 mg q4 hours after first dose

==Disposition==
*Admit

==See Also==
*[[Epidural compression syndromes]]

==References==
<references/>

[[Category:Orthopedics]]
[[Category:Neurology]]