What is the focus of ED treatment 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

No proven medical treatment exists, and therapy generally is directed at the underlying cause of cauda equina syndrome. For penetrating trauma, steroids have not shown significant benefit.

Surgery is controversial. The timing of decompression is controversial, with immediate, early, and late surgical decompression showing varying results. [15, 88, 89] For mechanical compression of the cauda due to disk herniation, surgical intervention may be indicated.

Practice guidelines for the management of low back pain have been created. [90, 91, 92]


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