ces
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| ces [2026/06/10 01:38] – [cauda equina syndrome (CES)] gary1 | ces [2026/06/10 01:39] (current) – [Introduction] gary1 | ||
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| *an important complication of various conditions which cause low back pain (although it can occur without back pain), which requires urgent MRI to avoid delay in surgical Rx which increases risk of permanent urinary +/- faecal incontinence due to neuropraxia of the S2-4 nerve roots | *an important complication of various conditions which cause low back pain (although it can occur without back pain), which requires urgent MRI to avoid delay in surgical Rx which increases risk of permanent urinary +/- faecal incontinence due to neuropraxia of the S2-4 nerve roots | ||
| *early recognition and treatment of CES is associated with improved outcome with respect to bladder function. | *early recognition and treatment of CES is associated with improved outcome with respect to bladder function. | ||
| - | *failure to recognise and treat this condition expediently may have outcome and medico-legal implications | + | |
| - | | + | *mostly due to issues at lumbar levels L4/L5 (and L5/S1, and to a lesser extent, L3/L4) as these are the levels with the most densely packed nerve roots where the sacral level nerves are most vulnerable, and are the commonest levels for major lumbar disc herniation |
| * NB. spinal cord itself typically ends near the L1/L2 vertebral level | * NB. spinal cord itself typically ends near the L1/L2 vertebral level | ||
| * whilst L2/L3 issues can cause CES, these cases are rare | * whilst L2/L3 issues can cause CES, these cases are rare | ||
ces.txt · Last modified: 2026/06/10 01:39 by gary1