What are the clinical manifestations of cauda equina syndrome?

Cauda equina syndrome mainly affects the function of the two stools and sphincter muscles, and some patients have acute intervertebral disc herniation, resulting in acute compression of the cauda equina nerve, a sharp decrease in the volume of the spinal canal, and a serious squeeze of the cauda equina nerve, resulting in stool dysfunction, but the most important manifestation is limb weakness and severe pain. If there is a herniated disc, it can be removed, and the function will be significantly restored after removal.

However, after the operation, the pain of lower limb function disappeared and the weakness of the limb was slowly recovered, but the function of the second stool was not significantly recovered or did not return to complete normal after a long period of observation, which is the serious damage caused by the cauda equina nerve, mainly to the sphincter function and the second stool function. It has been found that the cauda equina nerve can cause motor neuron damage in the anterior horn of the spinal cord within 24 hours and even irreversible damage after more than 24 hours when the cauda equina nerve is acutely compressed.

The continuation of the nerve in the spinal canal is mainly composed of nerve fibers, and its main function is to control the sensory, motor, urinary and urinary functions of the lower limbs, and the sensorimotor function of the saddle area. When the cauda equina nerve in the spinal canal is injured, or invaded by tumors, inflammation and other factors, the cauda equina nerve function is impaired, and the patient will have sensory, motor disorders, urinary and urinary dysfunction, saddle sensation, motor and other functional impairments in both lower limbs.

Surgery can relieve the compression of the lesion on the cauda equina nerve, loosen the adhesions, and restore nerve function. Benign tumors can be surgically resected, but malignant tumors are often difficult to completely resect.

When you find words in the examination report that mention the protruding compression of the nerve between L2-5 and L5-S1, nerve root compression, nucleus pulposus prolapse, cauda equina nerve compression, etc., you may already have cauda equina syndrome. Or there are some symptoms caused by cauda equina nerve damage, such as numbness in the perineal area, abnormal urine and urine, abnormal perception and paresthesia in the lower limbs, accompanied by spontaneous pain, sexual dysfunction in some men, walking claudication, etc.

Severe radicular pain, sciatica, dysplynia, sexual dysfunction, local tightness, motor dysfunction, sensory dysfunction, psychiatric symptoms, sleep problems, muscle wasting, gastrointestinal malfunction. Most patients with cauda equina nerve injury will be accompanied by depression, a small number of patients with sleep disorders, and constipation is a symptom that 80% of patients with cauda equina nerve injury have experienced. Cauda equina nerve injury is not only a sign of movement disorders, including some complications affected by the mental level, but also the key to the difficulty of recovery, and traditional Chinese medicine not only has the hope of curing motor symptoms and recovering most of the symptoms, but also has great significance for the mental symptoms of cauda equina nerve injury.

Cauda equina nerve injury is not a very good disease, its symptoms are diverse, and it does not appear as a single symptom. Most of them have problems with lower limb sensory impairment and defecation and defecation, and in one case, male patients may also have symptoms such as sexual dysfunction and foot drop.

Numbness in the perineal area, sensory abnormalities in the lower limbs, spontaneous pain, abnormal urine and bowel movements, and sexual dysfunction in some male patients are common.

Cauda equina syndrome (CES) refers to the cauda equina nerve damage caused by lumbar spine injury, with urinary and urinary incontinence, sexual function and saddle sensory dysfunction as the main symptoms and signs. If it is not timely**, it will lead to impaired cauda equina nerve function and seriously affect the patient's quality of life.

The cauda equina nerve refers to the lumbosacral nerve root below the conus medullaris called the cauda equina nerve, which is composed of 10 pairs of nerve roots from L2-5, S1-5 and the caudal segment.