CES can occur when a ruptured or herniated lumbar disc puts intense pressure on the cauda equina.
For this reason, symptoms of CES warrant immediate medical attention and, in many cases, emergency surgery.
What Are the First Signs of Cauda Equina Syndrome?
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The most common cause of CES is a ruptured or herniated disc in the lumbar area.
Other possible causes may include:
How Is CES Diagnosed?
A diagnosis of cauda equina syndrome usually is followed by emergency surgery within 24 to 48 hours.
The goal is to relieve compression of the nerves.
Moving swiftly is essential to prevent permanent complications such as nerve damage, incontinence, or leg paralysis.
Depending on the cause, high doses ofcorticosteroidsalso may be prescribed to reduce swelling.
If an infection is found to be responsible for CES, antibiotics may be needed.
The outcome for people with CES-I at the time of surgery generally is favorable.
Those whose CES has deteriorated to CES-R tend to have a poor prognosis.
Coping With CES
Even after surgery, CES can be a challenging condition to deal with.
If bladder function has been impaired, recovery of bladder control may take time.
Loss of bladder or bowel control can be psychologically distressing, impacting social life, work, and relationships.
Sexual dysfunction can also occur, contributing to relationship difficulties or depression.
Talking with a mental health professional may be helpful.
Psychological counseling and/or a support group also can be helpful in this transition.
The most common cause of CES is a ruptured or herniated disc in the lumbar area.
Ideally, CES is treated with surgery within 24 to 48 hours of symptoms onset.
If you’re having symptoms that could be CES, see a healthcare provider promptly.
Delaying treatment can lead to permanent damage.
American Association of Neurological Surgeons.Cauda Equina Syndrome.
Br J Gen Pract.
2014 Feb;64(619):67-8. doi: 10.3399/bjgp14X676988
OrthoInfo.Cauda eqina syndrome.
Lavy C, James A, Wilson-MacDonald J.Cauda equina syndrome.BMJ.
