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Letters Cauda equina syndrome

Examination must be thorough

BMJ 2009; 338 doi: (Published 29 April 2009) Cite this as: BMJ 2009;338:b1724
  1. Angelos G Kolias, core surgical trainee1,
  2. Saurabh Odak, registrar in trauma and orthopaedics2,
  3. Atul K Tyagi, consultant neurosurgeon3
  1. 1Ipswich Hospital, Ipswich IP4 5PD
  2. 2Darlington Memorial Hospital, Darlington DL3 6HX
  3. 3Leeds General Infirmary, Leeds LS1 3EX
  1. angeloskolias{at}

As well as neurological examination of the legs, perianal and perineal sensation should be assessed in cases of suspected cauda equina syndrome.1 This may prove challenging in primary care settings, but it is the safest way of appropriately triaging such patients, facilitates referral, and provides …

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