Stephen J. Schueler, M.D.

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Conus Medullaris Syndrome Evaluation

The evaluation of conus medullaris syndrome begins with a medical history and physical examination.

Physical findings in someone with conus medullaris syndrome may include:

  • Muscle weakness
  • Diminished or absent deep tendon reflexes in the lower extremities
  • Sensory abnormalities in the perineum and lower extremities
  • Decreased anal sphincter tone

Testing is necessary to confirm the diagnosis of conus medullaris syndrome.

Tests that may be used to evaluate conus medullaris syndrome include:

Continue to Conus Medullaris Syndrome Treatment

Last Updated: Dec 8, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Conus Medullaris Syndrome References
  1. Kaiboriboon K, Olsen TJ, Hayat GR. Cauda equina and conus medullaris syndrome in sarcoidosis. Neurologist. 2005 May;11(3):179-83. [15860141]
  2. Kirshblum SC, Groah SL, McKinley WO: Spinal cord injury medicine. 1. Etiology, classification, and acute medical management. Arch Phys Med Rehabil 2002; 83(3 Suppl 1): S50-7, S90-8. [11973697]
  3. Ku A, Lachmann E, Tunkel R: Neurosarcoidosis of the conus medullaris and cauda equina presenting as paraparesis: case report and literature review. Paraplegia 1996 Feb; 34(2): 116-20. [8835038]
  4. McDonald JW, Sadowsky C: Spinal-cord injury. Lancet 2002; 359(9304): 417-25. [11844532]
  5. Sampson JH, Cashman RE, Nashold BS Jr, Friedman AH. Dorsal root entry zone lesions for intractable pain after trauma to the conus medullaris and cauda equina. J Neurosurg. 1995 Jan;82(1):28-34. [7815130]
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