2,284 results match your criteria Cauda Equina Syndrome


A Case of Bing-Neel Syndrome Successfully Treated with Tirabrutinib.

Intern Med 2022 May 14. Epub 2022 May 14.

Department of Hematology and Oncology, Graduate School of Medicine, The University of Tokyo, Japan.

Bing-Neel syndrome (BNS) is a rare central nervous system manifestation of lymphoplasmacytic lymphoma/Waldenström macroglobulinemia (LPL/WM). We herein report a 62-year-old man with LPL/WM after multiple chemotherapies. He had weakness of lower extremities and elevated serum IgM levels. Read More

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Surgery in Acute Metastatic Spinal Cord Compression: Timing and Functional Outcome.

Cancers (Basel) 2022 Apr 30;14(9). Epub 2022 Apr 30.

Department of Neurosurgery, School of Medicine, Technical University of Munich, 81675 Munich, Germany.

Patients with metastatic spinal cord compression (MSCC) may experience long-term functional impairment. It has been established that surgical decompression improves neurological outcomes, but the effect of early surgery remains uncertain. Our objective was to evaluate the impact of early versus late surgery for acute MSCC due to spinal metastases (SM). Read More

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Revision for cage migration after transforaminal/posterior lumbar interbody fusion: how to perform revision surgery?

BMC Surg 2022 May 11;22(1):172. Epub 2022 May 11.

Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi Minami Ward Okayama, Okayama, 702-8055, Japan.

Background: Symptomatic pseudarthrosis and cage migration/protrusion are difficult complications of transforaminal or posterior lumbar interbody fusion (TLIF/PLIF). If the patient experiences severe radicular symptoms due to cage protrusion, removal of the migrated cage is necessary. However, this procedure is sometimes very challenging because epidural adhesions and fibrous union can be present between the cage and vertebrae. Read More

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Incidence and Skeletal Features of Developmental Cervical and Lumbar Spinal Stenosis.

Asian Spine J 2022 May 10. Epub 2022 May 10.

Department of Orthopaedic Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.

Study Design: Cross-sectional study.

Purpose: To report the prevalence and relationship of developmental cervical and lumbar spinal stenosis (DCSS and DLSS) with the bone parameters of the skull and extremities.

Overview Of Literature: DCSS and DLSS are found occasionally in daily practice. Read More

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Symptom-based pharmacotherapy for neuropathic pain related to spinal disorders: results from a patient-based assessment.

Sci Rep 2022 May 3;12(1):7192. Epub 2022 May 3.

Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan.

Existing guidelines advocate an updated therapeutic algorithm for chronic neuropathic pain (NeP), but pharmacotherapeutic management should be individualized to pain phenotypes to achieve higher efficacy. This study was aimed to evaluate the efficacy of medications, based on NeP phenotypes, and to propose symptom-based pharmacotherapy. This retrospective study was enrolled 265 outpatients with chronic NeP related to spinal disorders. Read More

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Management of cauda equina syndrome during pregnancy and postpartum.

BMJ Case Rep 2022 Apr 29;15(4). Epub 2022 Apr 29.

Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA

Cauda equina syndrome (CES) is a rare condition that occurs from multiple nerve root compression. It is considered a surgical emergency because it can lead to permanent neurological damage. There is limited literature regarding management and prognosis of CES for pregnant patients, leaving providers with many questions when encountering patients with this condition. Read More

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Rhabdomyolysis Masquerading as Cauda Equina Syndrome.

Cureus 2022 Mar 10;14(3):e23048. Epub 2022 Mar 10.

Accident and Emergency, Changi General Medicine, Singapore, SGP.

Lower back pain is a very common presenting condition, with a large proportion resulting from discogenic causes, especially after strenuous activity. In patients with a history of exertion, lower back pain, and acute urinary retention, the obvious diagnosis to exclude would be cauda equina syndrome. We present a case of a 32-year-old man who presented with lower back pain, bilateral lower limb weakness, and acute urinary retention following a recent episode of heavy lifting. Read More

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Cauda Equina Syndrome Following Lumbar Disc Herniation at L5-S1: A Case Report.

J Chiropr Med 2021 Sep 6;20(3):158-162. Epub 2022 Apr 6.

Associated Clinical Sciences, Southern University of Health Science, Whitter, California.

Objective: The purpose of this article is to describe a patient presenting to a chiropractic clinic with rapidly progressing cauda equina symptoms.

Clinical Features: A 30-year-old woman presented to a chiropractic clinic with the onset of saddle distribution sensory loss and urinary retention. The patient had worsening symptoms 48 hours following evaluation at local emergency and radiology departments. Read More

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September 2021

Novel Multimodal Treatment Regimen for the Management of Primary Sacrococcygeal Cystic Echinococcosis.

J Orthop Case Rep 2021 Nov;11(11):22-26

Orthopaedic Research Group, Coimbatore, Tamil Nadu, India.

Introduction: Osseous hydatidosis is a rare condition most commonly involving the spine. Among spinal segments, sacrococcygeal involvement is even rarer. Moreover, the lesion is more prone to recurrence owing to the infiltrative nature of microvesicular lesions involving the spine. Read More

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November 2021

A Case Series of Acute Painless Bilateral Foot Drop Without Cauda Equina Syndrome.

J Orthop Case Rep 2021 Oct;11(10):13-16

Department of Ortho Spine, Old Building, Sir Ganga Ram Hospital, New Delhi, India.

Introduction: Acute painless bilateral foot drop without bowel/bladder involvement is a very rare presentation of lumbar degenerative disorders. Only a few cases have been published on it in the literature. An early intervention could prove to be very helpful for the neurological recovery. Read More

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October 2021

A Polyostotic Paget's Disease Involving Lumbar Spine Presenting with Cauda Equina Syndrome: An Unusual Entity.

J Orthop Case Rep 2021 Oct;11(10):1-5

Department of Orthopaedic, Sancheti Institute of Orthopaedics and Research, Pune. Maharashtra. India.

Introduction: Paget's disease of bone (PDB) is a metabolic bone disease presenting as polyostotic or monostotic lesions of the spine. Although common in the Anglo-Saxon population, it is rare on the Indian subcontinent. Neurological complications though infrequent can be severe in pagetic spine. Read More

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October 2021

Review/Perspective: Operations for Cauda Equina Syndromes - "The Sooner the Better".

Authors:
Nancy E Epstein

Surg Neurol Int 2022 25;13:100. Epub 2022 Mar 25.

Clinical Professor of Neurosurgery, School of Medicine, State University of NY at Stony Brook, NY and ℅ Dr. Marc Agulnick 1122 Frankllin Avenue Suite 106, Garden City, NY 11530, USA.

Background: Although most studies recommended that early surgery for cauda equina syndromes (CES) be performed within <48 h., the largest and most comprehensive Nationwide Inpatient Sample Database (NISC) series, involving over 25,000 CES patients recommended that time be shortened to 0-<24 h. In short, CES surgery performed "the sooner the better," was best. Read More

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Cauda equina syndrome after L5-S1 posterior decompression surgery showing a "convexity sign" caused by engorgement of the ventral epidural venous plexus: A case series.

Surg Neurol Int 2022 4;13:82. Epub 2022 Mar 4.

Department of Neurosurgery, Otsu City hospital, Otsu, Shiga, Japan.

Background: Cauda equina syndrome (CES) following posterior lumbar decompression is rare. Here, we present four postoperative cases of L5S1 surgery resulting in CES attributed to engorged ventral epidural veins that decreased spontaneously in three cases, while the fourth warranted a laminoplasty.

Case Description: Four patients underwent posterior lumbar decompressions at the L5-S1 level, but developed postoperative symptoms/signs of CES. Read More

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Lower Back Pain Heralding Cauda Equina Syndrome in a Patient With Achondroplasia.

Cureus 2022 Feb 19;14(2):e22380. Epub 2022 Feb 19.

Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, TUR.

Achondroplasia is the most common cause of congenital dwarfism and is associated with multiple complications due to impaired skeletal development. Herein, we report a 21-year-old woman with achondroplasia experiencing lower back pain which progressed to lower limb weakness and urinary retention. Magnetic resonance imaging revealed decreased interpedicular distance and severe stenosis of the lumbosacral spinal canal. Read More

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February 2022

Cauda Equina Syndrome.

Orthop Clin North Am 2022 Apr 8;53(2):247-254. Epub 2022 Mar 8.

OrthoCarolina Spine Center, 2001 Randolph Road, Charlotte, NC 28207, USA.

Cauda equina syndrome (CES) involves compression of some or all of the lumbar and sacral peripheral nerve roots. However, there is a lack of consensus in the literature regarding the exact diagnosis criteria in this patient population. Much of the pathophysiology has been studied regarding the onset of this condition; however, the long-term effects are not able to be accurately predicted at this time. Read More

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Can acute radiculopathy be caused by upper lumbar hemorrhagic synovial cyst spinal compression in the elderly?

Int J Surg Case Rep 2022 Apr 29;93:107002. Epub 2022 Mar 29.

Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. Electronic address:

Introduction And Importance: Acute radiculopathy caused by upper lumbar synovial cysts is rare. They generally present with a slow development of symptoms resulting from spinal canal involvement. Intracyst hemorrhagic synovial cysts are extremely uncommon and can manifest as radicular pain, radiculopathy or even cauda equina compression syndrome. Read More

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Cauda equina syndrome after unilateral medial branch blocks of the lower lumbar zygapophyseal joints.

Pain Pract 2022 Mar 30. Epub 2022 Mar 30.

EHC Hospital, Morges, Switzerland.

Medial branch blockade of the lumbar facet joints is widely performed and generally accepted as a safe intervention. We present a case of neurological damage following a medial branch blockade with local anesthetic and steroid. A patient suffering from chronic low back pain radiating to the buttocks and thighs underwent nine medial branch blockades over a few years. Read More

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Cauda equina syndrome - from timely treatment to the timing of out-of-hours surgery.

Acta Neurochir (Wien) 2022 May 30;164(5):1201-1202. Epub 2022 Mar 30.

Department of Neurosurgery, New Royal Infirmary of Edinburgh, NHS Lothian, Edinburgh, UK.

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Intradural Cauda Equina Metastases: A Systematic Review of Clinico-radiological Features, Management, and Treatment Outcomes.

Anticancer Res 2022 Apr;42(4):1661-1669

Texas A&M University College of Medicine, Houston, TX, U.S.A.

Background/aim: Intradural cauda equina metastases (ICEM) are rare tumors that reduce functional status. Surgery and radiation are feasible and effective treatments but may have debilitating complications. We systematically reviewed the literature on ICEMs. Read More

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Intradural Lumbar Disc Herniation From the Lateral Inner Surface of the Dura Without a Penetration Hole: A Case Report.

Cureus 2022 Feb 20;14(2):e22418. Epub 2022 Feb 20.

Orthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.

Intradural disc herniation (IDH) is usually diagnosed during surgery when a herniated mass is found to have penetrated the ventral dura. We experienced a case of IDH that entered the dura from the lateral side with no penetrating hole. A 61-year-old man presented to our institution with left leg pain of two months' duration. Read More

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February 2022

Surgical timing in traumatic spinal cord injury: current practice and obstacles to early surgery in Latin America.

Spinal Cord 2022 Apr 19;60(4):368-374. Epub 2022 Mar 19.

Neurosurgery and Spine Program, Hospital Beneficente São Carlos, Farroupilha, RS, Brazil.

Study Design: Cross-sectional.

Objectives: To evaluate current practice of Latin American spine surgeons regarding surgical timing in patients with traumatic spinal cord injury (tSCI) and to identify potential barriers for early surgery.

Setting: Web-based. Read More

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Clinical Examination and the Diagnosis of Cauda Equina Syndrome. More Examination, Not Less.

Authors:
Nick V Todd

Global Spine J 2022 Mar 12:21925682221085540. Epub 2022 Mar 12.

Newcastle Nuffield Hospital, Newcastle Upon Tyne, UK.

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Let's Be Honest: These Medical Malpractice Cases Were a Pain in the Back.

Clin Pract Cases Emerg Med 2022 Feb;6(1):8-12

Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.

Introduction: This series reviews three cases of back pain where a highly morbid diagnosis was missed by an emergency physician and subsequently successfully litigated.

Case Report: We review the clinical entities of spinal epidural abscess and cauda equina syndrome, challenging diagnoses that can be easily missed and lead to patient harm if not treated promptly. Here we offer suggestions for recognizing these conditions quickly, performing an adequate history and exam, and using documentation to support decision-making. Read More

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February 2022

Acute Cauda Equina Syndrome Caused by Epidural Steroid Injection in the Setting of a Spinal Dural Arteriovenous Fistula.

Cureus 2022 Jan 30;14(1):e21752. Epub 2022 Jan 30.

Emergency Medicine, Kettering Health Network, Dayton, USA.

We present a case of acute cauda equina syndrome caused by an epidural steroid injection in the setting of a previously undiagnosed spinal dural arteriovenous fistula (SDAVF). Our patient was a 61-year-old man who presented to the emergency department with low back pain, inability to walk, paresthesias of his bilateral lower extremities, bowel and bladder incontinence, and saddle anesthesia. Physical examination revealed weakness and decreased sensation of the lower extremities as well as poor rectal tone and urinary retention. Read More

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January 2022

Cauda equina syndrome caused by multiple intraspinal hemorrhage following percutaneous coronary intervention.

Asian J Surg 2022 Jun 4;45(6):1297-1298. Epub 2022 Mar 4.

Department of Neurosurgery, Chang Gung Memorial Hospital, Keelung & Chang Gung University, Taiwan. Electronic address:

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Spinal cord stimulation and cauda equina syndrome: Could it be a valid option? A report of two cases.

Neurocirugia (Astur : Engl Ed) 2022 Mar-Apr;33(2):90-94

Neurosurgery Department, Hospital Clínico San Carlos, Madrid, Spain. Electronic address:

Spinal cord stimulation (SCS) consists of the application of electrical stimuli to the dorsal columns of the spinal cord or to the posterior nerve roots in order to modulate the pain signals carried by the ascending pain pathways to the brain. Two cases of SCS in patients with cauda equina syndrome after lumbar surgery are presented. They were treated for persistent neuropathic pain but also experienced improvement in their motor and urinary symptoms after this treatment. Read More

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Lumbar decompression surgery for cauda equina syndrome - comparison of complication rates between daytime and overnight operating.

Acta Neurochir (Wien) 2022 May 2;164(5):1203-1208. Epub 2022 Mar 2.

Department of Neurosurgery, Cambridge University Hospitals, Cambridge, UK.

Purpose: To investigate the incidence of complications from lumbar decompression ± discectomy surgery for cauda equina syndrome (CES), assessing whether time of day is associated with a change in the incidence of complications.

Methods: Electronic clinical and operative notes for all lumbar decompression operations undertaken at our institution for CES over a 2-year time period were retrospectively reviewed. "Overnight" surgery was defined as any surgery occurring between 18:00 and 08:00 on any day. Read More

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Piriformis syndrome as a result of intramuscular haematoma mimicking cauda equina effectively treated with piriformis tendon release.

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Trauma and Orthopaedics, Department of Orthopaedics, Royal Stoke University Hospital, Stoke-on-trent, UK.

We present a case of piriformis syndrome in a woman in her 30's following low energy trauma, presenting with unilateral lower limb weakness, altered sensation and urinary retention. CT imaging revealed a bulky piriformis muscle which was further clarified on MRI as an intramuscular haematoma within the left piriformis causing compression of the left lumbosacral plexus. Haematoma formation was exacerbated due to use of an antiplatelet medication the patient was taking for Moyamoya disease, which carries an increased risk of cerebrovascular accident. Read More

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Susac syndrome with a unique involvement of the thoracic spinal cord.

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Neurology, UMKC School of Medicine, Kansas City, Missouri, USA.

A woman in her late 20s presented with headaches and subacute encephalopathy. MRIs showed multiple punctate subcortical and periventricular white matter hyperintensities with diffusion restriction, infratentorial lesions, leptomeningeal enhancement of the cervical spinal cord, brainstem and cerebellum and two areas of high-signal abnormality at T4 and T6 raising suspicion for multiple sclerosis or acute disseminated encephalomyelitis.Further studies and evolution of her symptoms during her hospital stay confirmed the clinical triad of encephalopathy, branch retinal artery occlusions and hearing loss pathognomonic for Susac's syndrome. Read More

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Early experience of a local pathway on the waiting time for MRI in patients presenting to a UK district general hospital with suspected cauda equina syndrome.

Br J Neurosurg 2022 Mar 1:1-7. Epub 2022 Mar 1.

Consultant Spinal and Trauma Surgeon, Salisbury District Hospital, Salisbury, UK.

Aim: This study evaluated the impact of the Salisbury Protocol for Assessment of Cauda Equina Syndrome (SPACES) on the waiting time for MRI in patients presenting with suspected Cauda Equina Syndrome (sCES) within a UK district general hospital.

Patients And Methods: All consecutive patients undergoing an MRI scan in our hospital, for sCES, over a 12 month period, prior to and following the introduction of SPACES, were identified. Patient's gender, age, MRI diagnosis, time from MRI request to imaging and outcome were recorded. Read More

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