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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).
If patients with cauda equina syndrome do not seek immediate treatment to relieve the pressure, it can result in permanent paralysis, impaired bladder and/or bowel control, loss of sexual sensation, and other problems. Even with immediate treatment, some patient may not recover complete function. The cauda equina is a bundle of nerve roots at the lower end of the spinal cord. Causes. Cauda equina syndrome may be caused by a herniated disk, tumor, infection, fracture, or narrowing of the spinal canal.