Cauda equina syndrome
is characterized by lower extremity weakness or paralysis, bowel or bladder sphincter dysfunction, and saddle anesthesia.
Late urodynamic findings af ter surgery for cauda equina syndrome
caused by a prolapsed lum bar intervertebral disk.
However, its use has declined because of concerns about cauda equina syndrome
and transient neurological symptoms (2).
4,5,20) Lower extremity weakness, paraplegia, sensory deficits, altered deep tendon reflexes, sphincteric dysfunction and cauda equina syndrome
are frequently seen in the course of the disease; (5,17) atypical clinical presentations, such as palpable cysts in the soft tissues on either side of the vertebral column, are not seldom encountered.
Irreversible events--which are very rare but have led to cases of paralysis and death--include cauda equina syndrome
, which sometimes can be reversed with prompt surgery, and vascular injury, primarily to the vertebrobasilar arteries.
Crayton and associates reported the case of an SLE patient with epidural lipomatosis who developed a cauda equina syndrome
secondary to chronic steroid use.
All the following statements about cauda equina syndrome
are correct, except (choose one):
They opined it is a well known fact for neurologists that cauda equina syndrome
is a medical emergency that requires diagnosis and treatment as soon as possible.
Nevertheless, a relative high incidence of transient neurological symptoms and, rarely, cauda equina syndrome
has been reported after uneventful spinal anaesthesia (3,4).
We describe ARL in an HIV-positive patient without history of AIDS-defining disease presenting as cauda equina syndrome
The only indications for emergency surgery are a cauda equina syndrome
, and progressive, severe neurological deficit.
If the incidence of PDPH is reduced by this technique, there would be significant gains in patient care, healthcare costs and avoidance of complications of PDPH and epidural blood patches such as subdural haematoma (13,14), paraplegia and cauda equina syndrome