What are treatment options for 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

Specific treatment is directed at the primary cause; these are discussed in other articles. The general treatment goals are to minimize the extent of injury and to treat ensuing general complications. [87]

Other medical treatment options are useful in certain patients, depending on the underlying cause of the cauda equina syndrome. Anti-inflammatory agents and steroids can be effective in patients with inflammatory processes, including ankylosing spondylitis.

Patients with cauda equina syndrome secondary to infectious causes should receive appropriate antibiotic therapy. Patients with spinal neoplasms should be evaluated for the suitability of chemotherapy and radiation therapy.


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