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Doctor insights on: Epidural Shots Leading To Cauda Equina

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Is it possible for a caudal spinal steroid injection to cause cauda equina syndrome symptoms?

Is it possible for a caudal spinal steroid injection to cause cauda equina syndrome symptoms?

Not likely: Because the spinal cord ends at bout vertebral level L1 (range T12-L3) and epidural injection is performed at L4, the risks of the injection does not include direct injury to the spinal cord. Hope that helps. ...Read more

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Dr. Creighton Wright
2 doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more


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Is cauda equina syndrome commonly caused by epidural shots?

Is cauda equina syndrome commonly caused by epidural shots?

Very rarely: An epidural shot is a very safe and commonly used treatment for disc herniations and stenosis. A very rare complication from an epidural shot can be bleeding into the spinal canal. If this happens and the bleeding is significant it can cause cauda equina syndrome. This would need an emergency surgical procedure to remove the blood compressing the nerve roots. ...Read more

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Question about cauda equina syndrome caused by spinal nodule/tumor on cauda equina nerve roots - possible metastasis with severe increasing symptoms?

Question about cauda equina syndrome caused by spinal nodule/tumor on cauda equina nerve roots - possible metastasis with severe increasing symptoms?

Don't delay: Cauda equina syndrome is the loss of sensation or strength in the legs, along with loss of bowel and bladder control. It can be caused by tumor masses compressing nerve roots emanating from the lower part of the spinal cord. It is a medical emergency that may require surgery or radiation to prevent a permanent loss of function. ...Read more

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Is sacral nerve stimulation likely to work for patient who has neurogenic bladder due to cauda equine syndrome.?

Is sacral nerve stimulation likely to work for patient who has neurogenic bladder due to cauda equine syndrome.?

SNS: That question is difficult to answer without additional information, like urodynamic findings and current bladder management. The great thing about sacral nerve stimulation is that it is tested prior to full implantation and you will be able to answer the question for yourself as to whether or not it worked for you prior to implantation. ...Read more

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If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?

If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?

Interesting Thought: The plan is for the epidural steroid injection that is done posteriorly (called interlaminar/translaminar epidural injection) to reach the anterior epidural space where both the motor and sensory nerves exit out. Below the level of L2, roughly the spinal cord ends and all nerves exiting from the spine have both sensory/motor components. ...Read more

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Does cauda equina syndrome with spinal stenosis cause complete paralysis?

Does cauda equina syndrome with spinal stenosis cause complete paralysis?

Dont wait 2 find out: Cauda equina syndrome is loss of control of bowel and bladder and numbness where you sit, called 'saddle anesthesia'. It is considered a neurosurgical emergency. Go to the er. ...Read more

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I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read more

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Which sort of MRI to detect cauda equina syndrome?

Lumbar: A lumbar spine MRI would cover the bottom of the spinal (i.e. The conus medullaris) the the nerve roots coursing out of the conus( cauda equina). ...Read more

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Can cauda equina syndrome with stenosis cause complete paralysis?

No: Cauda equina (tail of the horse) is just the end of the spinal cord. If there is spinal stenosis, there can be severe back and butt pain and difficulty standing up straight. There can be pinching of sacral nerves that cause pain down the leg and weakness in the feet. Sometimes bowel and bladder function can be affected. Tethering of the spinal cord may be involved. Paralysis should not occur. ...Read more

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Can a spinal cord stimulator cause pinched nerve ?

Can a spinal cord stimulator cause pinched nerve ?

If: Placed correctly should help with pinched nerve, sometimes they migrate (leads) go have them checked. ...Read more

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Can a lumbar puncture paralyze me?

Can a lumbar puncture paralyze me?

Rarely: I have seen this happen twice in the span of my medical career, both instances in which the performing physician was not aware of the patients' use of blood thinners. Hematomas formed and extended upward from the "safe" levels of lumbar puncture up to the spinal cord. ...Read more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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What can you expect from cauda equina syndrome?

Weakness: The term refers to disease affecting the terminal area below the spinal cord, and can cause bilateral leg weakness, numbness, inability to urinate, but early on may cause a neurogenic claudication, where walking or exercise creates transient numbness and weakness. ...Read more

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Will ?Spinal manulipation help correct severe spinal stenosis?

Will ?Spinal manulipation help correct severe spinal stenosis?

No: No, it will not alter the spinal canal's size which has become too small for the neural elements which are compressed. In a severe case of spinal stenosis, manipulation has a chance of aggravating the symptoms unless it is gentle traction which may help foraminal stenosis -the region where nerves exit the spine. ...Read more

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Spinal cord insult, on high dose gabapentin post compressions, laminectomies?

Spinal cord insult, on high dose gabapentin post compressions, laminectomies?

Pain management: Gabapentin can help reduce pain from neurologic injuries. It does not fix anything, however. Your question is lacking a point. Has your spinal cord injury been helped by the decompression? ...Read more

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No cord compression. Vertebral bodies and spinal cord anormal.spinal canal adequate. A hemangioma in the T6 vertebral body is noted. What does this me?

No cord compression. Vertebral bodies and spinal cord anormal.spinal canal adequate. A hemangioma in the T6 vertebral body is noted. What does this me?

Mostly benign: Vertebral hemangiomas are benign vascular malformations that displace the adjacent bone. They are usually asymptomatic and typically no treatment is necessary. Acute symptoms may occur from secondary compression fracture, sudden mass effect, and internal hemorrhage. With these secondary effects, there are invasive and noninvasive therapeutic options. ...Read more

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Please tell me, could spinal cord compression cause psychosis?

Please tell me, could spinal cord compression cause psychosis?

Doubtful: Compression if the cord would more likely produce weakness, pain or paralysis. Adverse reactions to medications used to treat the symptoms of compression could produce psychosis. ...Read more

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Can tinnitus and cauda equina be linked ?

No: Tinnitus is an inner ear problem or can be related to a cranial problem but cauda equina refers to dysfunction of the nerves of your lower back. The only way they could be related is if you had a disseminated malignancy of the nervous system which is rare. ...Read more

Dr. Behnam Myers
124 doctors shared insights

Cauda Equina (Definition)

Spinal cord ends at upper lumbar spine (l1-2 level) and become a bundle of nerve roots, which look like horse tail. It passes bony tube inside the lumbar vertebrae while sending out nerve roots at each spine levels. You can easily visualize the anatomy on-line if ...Read more


Dr. Behnam Myers
138 doctors shared insights

Cauda Equina Syndrome (Definition)

A serious neurologic condition in which damage to the cauda equina causes loss of function of the lumbar plexus (nerve roots) of the spinal canal below the termination (conus medullaris) ...Read more