As a bonus to Episode 26 on Low Back Pain Emergencies with Dr. Brian Steinhart & Dr. Walter Himmel, we have Dr. Walter Himmel’s own personal incredible case of Cauda Equina Syndrome.

In the related Episode we will cover the most serious spinal and vascular causes that present with low back pain including Cauda Equina Syndrome, Spinal Epidural Abscess, Spinal Epidural Hematoma, Metastases to the spine, Abdominal Aortic Aneurysm and Retroperitoneal Hematoma.

emcases-update Update 2021: Retrospective tertiary center review (U.K.) showed that bilateral lower extremity pain, dermatomal distribution sensory loss, and loss of bilateral ankle/knee reflexes showed correlation with radiographic diagnosis of cauda equina compression (CEC); while digital rectal examination (DRE) did not demonstrate any benefit. However, individual symptoms showed poor performance in ruling in (or out) CEC. Abstract