Users' questions

Can cauda equina cause neurogenic bladder?

Can cauda equina cause neurogenic bladder?

In general, an areflexic neurogenic bladder usually appears in patients with cauda equina injury due to damage of the pelvic nucleus and pudendal nucleus in the sacral cord. However several studies reported atypical findings such as autonomic detrusor contraction (ADC) or low compliance in cauda equina injury.

How does cauda equina affect the bladder?

The cauda equina nerves supply muscle sensation to the bladder, bowel and legs. When these nerves become suppressed from Cauda Equina Syndrome then muscle sensation becomes lost which can result in loss of bladder and/ or bowel control.

Can a brain injury cause a neurogenic bladder?

Neurogenic bladder. Injury to the brain, brainstem, spinal cord or peripheral nerves from various causes including infection, trauma, malignancy or vascular insult can result in a dysfunctional bladder 3.

How does cauda equina syndrome cause lower back pain?

Cauda equina syndrome due to compression to the nerve roots distal to the level of the spinal cord can be caused by a variety of infectious diseases. Patients present with low-back pain, lower-extremity motor and sensory deficits, and bladder and bowel dysfunction.

How to treat post void residual in neurogenic bladder?

A large post void residual is often noted. Depending on the etiology, various techniques can be employed to maintain renal function and prevent urinary tract infections. Self catheterization, medication or surgical interventions including cystoplasty or sphincterotomy can be employed. Imaging differential considerations include: 1.

What causes cavitation of the cord in arachnoiditis?

Cavitation of the cord was observed in areas where there was ischaemia (poor blood supply). Syringomyelia (cavity) is a complication of arachnoiditis, probably arising due to the pressure dissociation between the subarachnoid space and the central canal. It must be stressed that it does not occur in all cases of arachnoiditis.

Where are the nerve roots located in cauda equina syndrome?

Cauda Equina Syndrome. The individual nerve roots at the end of the spinal cord that provide motor and sensory function to the legs and the bladder continue along in the spinal canal. The cauda equina is the continuation of these nerve roots in the lumbar region. These nerves send and receive messages to and from the lower limbs and pelvic organs.

How is cauda equina syndrome related to gender?

The cauda equina is the continuation of these nerve roots in the lumbar region. These nerves send and receive messages to and from the lower limbs and pelvic organs. CES is not related to gender or race. It occurs primarily in adults, although trauma-related CES can affect people of all ages.

Which is worse conus medullaris or cauda equina syndrome?

Patients with complete cauda equina syndrome have a poorer outcome 3. Approximately 20% of patients will have a poor outcome in terms of urological and/or sexual function as well as lower limb paresthesia and weakness 6. Differential diagnosis. Clinically the main differential is that of conus medullaris syndrome. Practical points

How is arachnoiditis related to epidural fibrosis?

In cases of arachnoiditis, there is often associated epidural fibrosis, but the reverse is not generally acknowledged, so that patients may be left with a diagnosis of epidural fibrosis and are unable to get a diagnosis of arachnoiditis even when the clinical picture fits. Arachnoiditis is an underdiagnosed condition.