A 45-year-old with suspected cauda equina syndrome has bilateral sciatica, saddle anaesthesia and urinary retention. Best next step:...

Question

A 45-year-old with suspected cauda equina syndrome has bilateral sciatica, saddle anaesthesia and urinary retention. Best next step:

Accepted Answer

Arrange urgent MRI and neurosurgical referral

Answer

Oral steroids and urgent physio

Answer

Lumbar X-ray and review in 2 weeks

Answer

Epidural steroid injection

Answer

Start gabapentin and observe

ukmla MCQ (SBA): Cauda Equina Syndrome