Cauda Equina Syndrome

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Cauda equina syndrome on a T2 sagittal sequence.
Cauda Equina Syndrome
Epidemiology	1-3% of all disc herniations, 1 case per 33,000-100,000.
Causes	Most commonly massive central lumbar disc protrusion, amongst many other causes.
Pathophysiology	Compression of the cauda equina
Classification	CESS (cauda equina suspected), CESI (cauda equina incomplete), CESR (cauda equina with urinary retention).
Risk Factors	Obesity, spinal stenosis, recent lumbar spinal surgery.
Tests	urgent MRI.
Treatment	Urgent decompression.
Prognosis	Improved with earlier detection and treatment.