Template:Epidural compression syndromes clinical

Epidural compression syndromes table

Syndrome	Spinal cord compression	Conus medullaris syndrome	Cauda equina syndrome
Lesion	Back pain with neuro deficits	Lesions at vertebral level L2	Low Back Pain
	Weakness in lower extremities, paresthesias/sensory deficits, gait difficultly	Early and prominent sphincter dysfunction with flaccid paralysis of the bladder and rectum, impotence, and saddle (S3-S5) anesthesia	Urinary retention with or without overflow incontinence (Sn 90%, Sp 95%)
	Deficits usually affect both legs but are often asymmetric		Rectal incontinence
	Bladder and rectal sphincter paralysis usually reflect involvement of S3-S5 nerve roots		Bilateral sciatica
			Saddle anesthesia (75% pts)
			Decreased anal sphincter tone (60-80% pts)
			Difficulty ambulating and/or wew foot-drop
			Symptoms worsened by coughing (increases intraspinal pressure)