Cauda Equina Syndrome and Decreasing Opioid Requirements
May 1, 2009 by admin
Cauda Equina Syndrome and Decreasing Opioid Requirements
In response to the letter by Ostgathe and coworkers, I would like to comment on the decreased opioid requirements observed in this patient who had cauda equina syndrome. The term cauda equina syndrome refers to a constellation of symptoms owing to damage of the cauda equina, the portion of the nervous system below the conus medullaris and consisting of peripheral nerves, both motor and sensory, within the spinal canal and thecal sac. Damage in this region causes various symptoms, including sciatica, low back pain, saddle and perianal hypoesthesia or analgesia, decreased rectal tone, absent patellar and Achilles tendon reflexes, bowel and bladder dysfunction, and lower-extremity weakness. Cauda equina syndrome may be due to primary spinal tumors or metastatic tumors. (Source: Journal of Pai…
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