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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).
Symptoms and Diagnosis. Symptoms of cauda equina syndrome include pain in the lower back, pain in one or both legs that begins in the buttocks and travels down to the back of the thighs, and bowel and bladder problems.hen the spinal cord narrows, it compresses the cauda equina, causing cauda equina syndrome. Compression can occur due to many reasons, including disc herniation, trauma, spinal stenosis, and tumors. It can also be caused by inflammatory or infectious conditions, as well as problems with previous medical procedures.