A case of cauda equina syndrome caused by a simple sneeze

Abstract

Cauda equina syndrome is a rare but serious condition that is brought on by an acute disc herniation; however, it may also occur in the patient with chronic back pain. The latter case complicates the diagnosis for a variety of reasons, especially if the diagnosis is not considered. Reported here is the case of a patient with longstanding spinal stenosis and lumbar disc herniations who developed an acute case of cauda equina syndrome after a sneeze. Missing the diagnosis can result in significant morbidity including paraplegia and permanent urinary incontinence. This report reviews the definition, causes, diagnosis, and a brief literature review of the timing of treatment of cauda equina syndrome.