Do you perform a DRE before referring a suspected case of cauda equina syndrome?
Check out the Stat Pearls page
Rider LS, Marra EM. Cauda Equina and Conus Medullaris Syndromes. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-
Check out the papers mentioned
Sherlock KE, Turner W, Elsayed S, Bagouri M, Baha L, Boszczyk BM, McNally D. The Evaluation of Digital Rectal Examination for Assessment of Anal Tone in Suspected Cauda Equina Syndrome. Spine (Phila Pa 1976). 2015 Aug 1;40(15):1213-8. doi: 10.1097/BRS.0000000000000902. PMID: 25811266. Link
Tabrah J, Wilson N, Phillips D, Böhning D. Can digital rectal examination be used to detect cauda equina compression in people presenting with acute cauda equina syndrome? A systematic review and meta-analysis of diagnostic test accuracy studies. Musculoskelet Sci Pract. 2022 Apr;58:102523. doi: 10.1016/j.msksp.2022.102523. Epub 2022 Feb 9. PMID: 35180641. Link
Curtis Lopez C, Berg AJ, Clayton B, Siddique I, Carrasco R, Horner D, Angus M. Evaluation of the role of anal tone and perianal sensation examination in the assessment of suspected cauda equina syndrome. Br J Neurosurg. 2024 Aug;38(4):923-927. doi: 10.1080/02688697.2021.2005775. Epub 2021 Nov 19. PMID: 34796788. Link
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