Cauda Equina in elderly with severe stenosis

Did an SIJ on an 86 yo patient last month who also has severe L3-4, L4-5 CCS. Called me a few days later complaining of saddle anesthesia (can't feel toilet paper when wiping) and new right lower extremity weakness. No b/b incontinence. Instructed pt to go to ED for suspected CES likely due to prone positioning. Pt overwhelmed and wanted me to convey to daughter which I did. Don't think they went. Have not seen since. Pt coming in tomorrow for scheduled f/u. Assuming Cauda Equina symptoms... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums