Conus medullaris syndrome is caused by an injury or insult to the conus medullaris and lumbar nerve roots. It is a clinical subset of spinal cord injury syndromes. Injuries at the level of T12 to L2 vertebrae are most likely to result in conus medullaris syndrome.
Patients present with a combination of severe back pain and upper and lower motor neurone deficits, similar to cauda equina syndrome, which include 1-3:
- saddle anaesthesia
- loss of bladder reflex: urinary retention
- loss of bowel reflex: incontinence
- lower limb motor weakness, paraesthesia and numbness (mixed upper and lower motor neurone pattern)
Unlike cauda equina syndrome which will only have lower motor neurone deficits, conus medullaris will have a combination of upper and lower motor neurone involvement 3.
The conus medullaris lies in close proximity to nerve roots and injury to this region results in combined upper motor neurone and lower motor neurone features
Conus medullaris injury can result most commonly from:
- lumbar canal stenosis due to herniation of intervertebral disc(s)
- vascular lesions
Depending on the suspected aetiology in addition to MRI that is almost invariably indicated, CT and catheter angiography may also be required. The features will vary according to the causative pathology and are therefore discussed separately.
Treatment and prognosis
The prognosis depends on upon the timing of patient presentation, the severity of deficits and underlying pathology. Early diagnosis and treatment may facilitate improvement in symptoms. Approximately 10% of patients may regain functional recovery.
- 1. Harrop JS, Hunt GE, Vaccaro AR. Conus medullaris and cauda equina syndrome as a result of traumatic injuries: management principles. Neurosurg Focus. 2004;16 (6): e4. Pubmed citation
- 2. McKinley W, Santos K, Meade M et-al. Incidence and outcomes of spinal cord injury clinical syndromes. J Spinal Cord Med. 2007;30 (3): 215-24. Free text at pubmed - Pubmed citation
- 3. Kunam VK, Velayudhan V, Chaudhry ZA, Bobinski M, Smoker WRK, Reede DL. Incomplete Cord Syndromes: Clinical and Imaging Review. (2018) Radiographics : a review publication of the Radiological Society of North America, Inc. 38 (4): 1201-1222. doi:10.1148/rg.2018170178 - Pubmed