Tuesday, 3 November 2015

Caudaequina syndrome




Caudaequina syndrome may also present with B&B disturbances, but in later stage of the disease and the symptoms are not very severe.
Signs and symptoms:-
- Severe back pain
-Asymmetrical Saddle anesthesia, i.e., anesthesia or paraesthesia involving S3 to S5 dermatomes, including the perineum, external genitalia and anus, numbness or "pins-and-needles" sensations of the groin and inner thighs which would contact a “saddle” when riding a horse.
- Bladder and bowel dysfunction, caused by decreased tone of the urinary and anal sphincters.
- Sciatica-type pain on one side or both sides, although pain may be wholly absent
- Weakness of the muscles of the lower legs often paraplegia.
- Achilles ankle.  reflex absent on both sides.
- Sexual dysfunction not severe.
- Absent anal reflex and bulbocavernosus reflex
- Gait disturbance