Conus medullaris syndrome
ICD-10 G95.81 is a billable code used to indicate a diagnosis of conus medullaris syndrome.
Conus medullaris syndrome is a neurological condition resulting from damage to the conus medullaris, the terminal end of the spinal cord, typically located at the L1-L2 vertebral level. This syndrome is characterized by a constellation of symptoms including lower extremity weakness, sensory loss, and bowel and bladder dysfunction. Patients may experience severe pain in the lower back and legs, often described as a burning or tingling sensation. Autonomic dysfunction is also common, leading to issues such as sexual dysfunction and altered bowel habits. The syndrome can arise from various etiologies, including trauma, tumors, herniated discs, or vascular insults. Diagnosis is often confirmed through imaging studies such as MRI, which can reveal structural abnormalities affecting the conus medullaris. Prompt recognition and management are crucial to prevent permanent neurological deficits. Treatment may involve surgical intervention, pain management, and rehabilitation to improve functional outcomes.
Comprehensive neurological examination findings, imaging results, and detailed symptom descriptions.
Patients presenting with acute onset of lower extremity weakness and bowel/bladder dysfunction.
Ensure that all neurological deficits are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients undergoing surgical intervention for herniated discs or spinal tumors affecting the conus medullaris.
Document the surgical findings and any neurological assessments performed pre- and post-operatively.
Used in surgical treatment of herniated discs affecting the conus medullaris.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the neurological status pre- and post-operatively.
Common symptoms include lower extremity weakness, sensory loss, bowel and bladder dysfunction, and severe back pain.
Diagnosis is typically made through clinical evaluation and confirmed with imaging studies such as MRI or CT scans.
Causes can include trauma, tumors, herniated discs, or vascular issues affecting the spinal cord.
