Template:Epidural compression syndromes clinical
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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) |