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These are the most common causes of cauda equina syndrome: 1  A herniation (bulging) of a spinal disk in the lumbar area that presses on the nerves (the most common cause). 2  Narrowing of the spinal canal (stenosis).3  A spinal lesion or tumour. 4  A spinal infection, inflammation, haemorrhage or fracture.hese are the most common causes of cauda equina syndrome: 1  A herniation (bulging) of a spinal disk in the lumbar area that presses on the nerves (the most common cause). 2  Narrowing of the spinal canal (stenosis).
Medical Editor: Charles Davis, MD, PhD. Symptoms of cauda equina syndrome include: 1  low back pain, 2  pain in one or both legs that starts in the buttocks and travels down the back of the thighs, 3  bladder and bowel problems (inability or difficulty to urinating, incontinence, constipation),4  weakness in the lower extremities and loss of sensations,5  numbness in the groin area, and.edical Editor: Charles Davis, MD, PhD. Symptoms of cauda equina syndrome include: 1  low back pain, 2  pain in one or both legs that starts in the buttocks and travels down the back of the thighs, 3  bladder and bowel problems (inability or difficulty to urinating, incontinence, constipation),