CORD SYNDROME-CAUDA EQUINA SYNDROME

SUMMARY

1. Injuries below the L1–L2 vertebral levels usually affect the cauda equina.

2. Produces LMN weakness and atrophy of the LL (L2–S2) with bowel & bladder involvement (S2–S4), impotence, sexual dysfunction & areflexia of the ankle and plantar reflexes.

3. Absent bulbocavernosus reflex.

4. Has a better prognosis relative to UMN injuries for recovery as they are histologically peripheral nerves; regeneration can occur.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.