Journal List > J Korean Soc Spine Surg > v.20(4) > 1076005

J Korean Soc Spine Surg. 2013 Dec;20(4):204-209. Korean.
Published online December 31, 2013.  https://doi.org/10.4184/jkss.2013.20.4.204
© Copyright 2013 Korean Society of Spine Surgery
Causes and Clinical Manifestations of Cauda Equina Syndrome
Chang Ju Hwang, M.D., Yung Tae Kim, M.D., Dong-Ho Lee, M.D., Choon Sung Lee, M.D., Jung Ki Ha, M.D. and Tae Kyoon Lee, M.D.
Department of Orthopaedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

Corresponding author: Chang Ju Hwang, M.D. Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan, 388-1, Pungnap-dong, Songpa-gu, Seoul 138-736, Korea. TEL: 82-2-3010-3530, FAX: 82-2-488-7877, Email: baski@amc.seoul.kr
Received August 06, 2013; Revised September 30, 2013; Accepted November 27, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Study Design

A literature review.

Objectives

To describe the causes and clinical characteristics of cauda equina syndrome.

Summary of Literature Review

The cauda equina syndrome, complex symptoms and signs expressed as variable clinical manifestation, has rare incidence but needs attention since it can bring about serious complications and sequales if neglected.

Materials and Methods

The Author reviewed articles reporting the causes and clinical manifestation of cauda equina syndrome.

Results

There are marked inconsistencies in the current evidence base surrounding the definition due to various clinical presentation of cauda equina syndrome.

Conclusion

As there is no symptom or sign which has an absolute diagnostic value in establishing the diagnosis of cauda equina syndrome, any patient in whom a clinical suspicion of cauda equina syndrome arises must undergo urgent magnetic resonance imaging for diagnosis.

Keywords: Cauda equina injury; Cauda equina syndrome; Cause; Definition; Clinical manifestation

Figures


Fig. 1
Anatomy of the lower lumbar and sacral spine showing the cauda equina.
Click for larger image


Fig. 2
T2-weighted sagittal (A) and axial (B) MR image of 54 years old female patient with bladder dysfuction, motor weakness and sensory deficit of left leg, it shows a case of cauda equina injury by relapsed lumbar disc herniation after open discectomy.
Click for larger image

Tables


Table 1
Predictor value in diagnosing cauda equina syndrome by MRI
Click for larger image

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