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Cauda equina syndrome (ces) is a condition that occurs when the bundle of nerves below the end of the spinal cord known as the cauda equina is damaged. Signs and symptoms include low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. The cause is usually a disc herniation in the lower region of the back. Cauda equina syndrome with retention or overflow incontinence. What is cauda equina syndrome? Cauda equina syndrome is an orthopaedic emergency clinical scenario, which is characterised by acute back pain, bilateral leg pain and weakness, perianal loss of sensation and bladder (mainly) or bowel (rarer) function disturbances. This would suggest that the diagnosis of cauda equina syndrome can be made with a higher sensitivity by the presence of saddle anaesthesia and abnormal urinary symptoms (85) compared to reduced anal tone alone (33). Cauda equina syndrome is compression andor inflammation of nerves in the lower portion of the spinal canal if left untreated, it can lead to permanent loss of bowel and bladder control cause paralysis of the legs consequently, it is considered a medical emergency. Signs and symptoms of cauda equina syndrome may include low back pain, pain in one or both legs that start at the buttocks. Cauda equina syndrome is a potentially serious neurological disorder caused by pressure on the cauda equina, a collection of nerves at the base of the spine that govern sensation and function in the lower limbs, bladder and bowels. Cauda equina syndrome can have a rapid onset with sudden severe symptoms, but it can also develop slowly, with early symptoms that often mimic other conditions.