Which tests are performed to rule out differential diagnoses of cauda equina and conus medullaris syndrome?

Updated: Jun 14, 2018
  • Author: Segun Toyin Dawodu, JD, MD, MS, MBA, LLM, FAAPMR, FAANEM; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Nerve conduction studies, [12] especially of the pudendal nerve, may rule out more distal peripheral nerve lesions.

Somatosensory evoked potentials (SSEPs) [12] could be done as part of the workup to rule out multiple sclerosis, which could present initially as a lower spinal cord syndrome.

Duplex ultrasound of peripheral vessels may rule out compromised vasculature as a possible cause of associated claudication.

Lumbar puncture should be performed to examine the CSF to rule out inflammatory disease of the meninges or spinal cord.


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