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Frequent nighttime urination
Urine urgency
Frequent urination
Urgent urination
Peeing at night
Pee frequently
Urination at night
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What is Cauda Equina Tumor?
These are tumors that develop within and below the lumbar spine and involve the "cauda equina" which is a bundle of nerve roots located at the lower end of the spinal cord. These tumors may originate from the lumbar spine or may have spread from other parts of the body. They are diagnosed with MRIs and CT scans after patients come to the physicians with pain and sometimes limb weakness or abnormal sensations.
Typical Symptoms of Cauda Equina Tumor
- Reduced sensitivity to feeling pain
- Need to strain or bear down to pass urine, in the past month
- Weakness in your arms or legs
- Numbness or tingling in your legs or feet
- Changed or unusual skin sensations
- Sudden urge to urinate
- Increased urine frequency
- Frequent urination at night
Diagnostic Questions for Cauda Equina Tumor
Your doctor may ask these questions to check for this disease:
- Do you have reduced sensitivity to pain?
- Have you had difficulty urinating recently?
- Do you have weakness in your arms or legs?
- Have you been experiencing numbness or tingling in your legs or feet?
- Have you noticed any changes in your skin sensations?
Treatment of Cauda Equina Tumor
Treatment options sometimes include surgery performed by a neurosurgeon or orthopedic surgeon, chemotherapy or immunotherapy (depending on tumor type) given by a medical oncologist and radiotherapy (depending on location, tumor type, and prior radiation history) given by a radiation oncologist. All three specialists may play a role in managing this tumor type. .
Reviewed By:
Robin Schoenthaler, MD (Oncology)
Board certified radiation oncologist with over 30 years experience treating cancer patients. Senior physician advisor for expert medical options in adult oncology. Published award-winning essayist on medical and health issues and more.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Tessitore E, Cabrilo I, Boex C, Schaller K. Cauda equina tumor surgery: how I do it. Acta Neurochir (Wien). 2012 Oct;154(10):1815-20. doi: 10.1007/s00701-012-1456-4. Epub 2012 Aug 25. PMID: 22922977.
https://link.springer.com/article/10.1007/s00701-012-1456-4Conus and Cauda Equina Tumors - PubMed
https://pubmed.ncbi.nlm.nih.gov/28722908/Tumors of The Conus and Cauda Equina - Medscape
https://emedicine.medscape.com/article/251302-overview