Cauda equina syndrome
| Subclass of | peripheral neuropathy, syndrome, disease  |
|---|---|
| Health specialty | neurology, neurosurgery |
| Symptoms and signs | saddle anesthesia |
| Anatomical location | cauda equina |
| ICD-9-CM | 344.6 |
| NCI Thesaurus ID | C35436 |
Cauda equina syndrome (CES) be a condition wey dey occur wen de bundle of nerves below de end of de spinal cord dem know as de cauda equina be damaged.[1] Signs den symptoms dey include low back pain, pain wey dey radiate down de leg, numbness around de anus, den loss of bowel anaa bladder control.[2] Onset fi be rapid anaa gradual.[2]
De cause usually be a disc herniation insyd de lower region of de back.[2] Oda causes dey include spinal stenosis, cancer, trauma, epidural abscess, den epidural hematoma.[1][2] De diagnosis be suspected based on symptoms den confirmed by medical imaging such as MRI anaa CT scan.[2][3]
CES generally be treated surgically via laminectomy.[2] Sudden onset be regarded as a medical emergency wey dey require prompt surgical decompression, plus delay wey dey cause permanent loss of function.[4] Permanent bladder problems, sexual dysfunction anaa numbness fi occur despite surgery.[2][3] A poor outcome dey occur insyd about 20% of people despite treatment.[2] About 1 insyd 70,000 people be affected every year.[2] Dem first describe am insyd 1934.[5]
References
[edit | edit source]- 1 2 "Cauda equina syndrome". Genetic and Rare Diseases Information Center (GARD) (in English). 2015. Archived from the original on February 3, 2017. Retrieved 9 November 2017.
- 1 2 3 4 5 6 7 8 9 Gardner A, Gardner E, Morley T (May 2011). "Cauda equina syndrome: a review of the current clinical and medico-legal position". European Spine Journal. 20 (5): 690–7. doi:10.1007/s00586-010-1668-3. PMC 3082683. PMID 21193933.
- 1 2 "Cauda Equina Syndrome-OrthoInfo – AAOS". orthoinfo.aaos.org. March 2014. Archived from the original on 3 November 2017. Retrieved 9 November 2017.
- ↑ Shapiro S (February 2000). "Medical realities of cauda equina syndrome secondary to lumbar disc herniation". Spine. 25 (3): 348–51, discussion 352. doi:10.1097/00007632-200002010-00015. PMID 10703108. S2CID 44975909.
- ↑ Chau AM, Xu LL, Pelzer NR, Gragnaniello C (2014). "Timing of surgical intervention in cauda equina syndrome: a systematic critical review". World Neurosurgery. 81 (3–4): 640–50. doi:10.1016/j.wneu.2013.11.007. PMID 24240024.
External links
[edit | edit source]
- 06-093c. at Merck Manual of Diagnosis and Therapy Home Edition