Cauda equina syndrome presenting as abdominal pain: a case report
Prasad Ellanti1, Brian Lenehan
1Department of Trauma and Orthopaedic Surgery, Mid-Western Regional Hospital, St. Nessans Road, Dooradoyle, Co-Limerick, Ireland. prasad.ellanti@gmail.com
The American Journal of Emergency Medicine
|August 16, 2011
Summary
Cauda equina syndrome (CES) is a rare condition causing severe symptoms. This case highlights abdominal pain as a key initial symptom, emphasizing the need for prompt diagnosis to prevent permanent paralysis and incontinence.
Area of Science:
- Neurology
- Surgical Case Study
Background:
- Cauda equina syndrome (CES) is a rare neurological condition.
- CES symptoms typically include bowel/bladder dysfunction, saddle anesthesia, and lower limb deficits.
- Delayed diagnosis of CES can lead to irreversible paralysis and incontinence.
Observation:
- Abdominal pain is not commonly recognized as a primary CES symptom.
- A 32-year-old woman presented with worsening lower abdominal pain.
- This presentation prompted investigation for CES.
Findings:
- The patient was diagnosed with Cauda equina syndrome.
- Abdominal pain was a significant feature of her initial presentation.
- This challenges the typical symptom profile of CES.
Implications:
- Recognizing abdominal pain as a potential CES symptom is crucial.
- Early diagnosis of CES can prevent devastating long-term consequences.
- This case expands the understanding of CES initial presentations.
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