1,869 results match your criteria Cauda Equina Syndrome


Uro-Vaxom® versus placebo for the prevention of recurrent symptomatic urinary tract infections in participants with chronic neurogenic bladder dysfunction: a randomised controlled feasibility study.

Trials 2019 Apr 16;20(1):223. Epub 2019 Apr 16.

National Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, HP21 8AL, UK.

Background: Patients with lower neurogenic bladder dysfunction are at an increased risk of suffering from recurrent urinary tract infections. Recurrent symptomatic urinary tract infection is occasionally treated with antibiotics as a prophylactic prevention strategy. This risks increasing the frequency of antibiotic resistance. Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-019-3275-xDOI Listing
April 2019
4 Reads

Evaluation of Nationwide Referral Pathways, Investigation and Treatment of Suspected Cauda Equina Syndrome in the United Kingdom (ENTICE).

Authors:
Dillon Vyas

Neurosurgery 2019 May;84(5):E271

Introduction: Cauda equina syndrome (CES) is a spinal emergency with clinical symptoms and signs that have low diagnostic accuracy. National guidelines in the United Kingdom (UK) state that all patients should undergo an MRI prior to referral to specialist spinal units and surgery, if required, should be performed at the earliest opportunity. We aimed to evaluate the current practice of investigating and treating suspected CES in the UK. Read More

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http://dx.doi.org/10.1093/neuros/nyz001.4DOI Listing

Compressive Pressure versus Time in Cauda Equina Syndrome: A Systematic Review and Meta-Analysis of Experimental Studies.

Spine (Phila Pa 1976) 2019 Apr 8. Epub 2019 Apr 8.

Department of Clinical Neuroscience, Western General Hospital, Edinburgh.

Study Design: Systematic review and meta-analysis OBJECTIVE.: To examine the relationship between compressive pressure and its duration in cauda equina compression, and the effects subsequent decompression, on neurophysiological function and pathophysiology in animal studies. We further aim to investigate these relationships with systemic blood pressure to assess whether a vascular component in the underlying mechanism may contribute to the clinical heterogeneity of this disease. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003045DOI Listing
April 2019
1 Read

Lipomatosis of spinal epidural space, peritoneum, and renal sinus: a rare complication of long-term steroid therapy in a child with nephrotic syndrome.

Childs Nerv Syst 2019 Apr 2. Epub 2019 Apr 2.

Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Excessive visceral adipose tissue proliferation, resulting in diffuse lipomatosis, is a rare complication of long-term steroid therapy. A 10-year-old boy presented with severe radicular back pain with limitation of lower limb movements. He was diagnosed with steroid-resistant nephrotic syndrome and was on unregulated steroid therapy. Read More

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http://dx.doi.org/10.1007/s00381-019-04141-zDOI Listing
April 2019
4 Reads
1.163 Impact Factor

A Review of Cauda Equina Syndrome in Ankylosing Spondylitis: Challenges in Diagnosis, Management, and Pathogenesis.

J Rheumatol 2019 Apr 1. Epub 2019 Apr 1.

From Cedars-Sinai Medical Center, Departments of Rheumatology and Neuroradiology.

Objective: Cauda equina syndrome (CES) is a rare neurologic complication of long-standing Ankylosing spondylitis (AS). It is unclear what causes CES, and no proven or effective therapy has been reported to date. We have encountered six patients with long-standing AS diagnosed with CES. Read More

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http://www.jrheum.org/lookup/doi/10.3899/jrheum.181259
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http://dx.doi.org/10.3899/jrheum.181259DOI Listing
April 2019
6 Reads

Leriche syndrome as a rare cause of cauda equina syndrome.

Neurologia 2019 Mar 26. Epub 2019 Mar 26.

Parkinson's Disease and Movement Disorders Program, Rush University Medical Center, Chicago, Illinois, Estados Unidos.

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http://dx.doi.org/10.1016/j.nrl.2018.12.015DOI Listing

Surgical treatment of progressive cauda equina compression caused by spontaneous spinal subdural hematoma: A case report.

Medicine (Baltimore) 2019 Mar;98(12):e14598

Department of Orthopedic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou.

Rationale: Spontaneous spinal subdural hematoma (SSDH) without an underlying pathology is a very rare condition. The treatment protocol for SSDH is early diagnosis and treatment before irreversible damage to neural tissue. However, there is no agreement on the etiopathogenesis, as well as the need for surgery to treat spontaneous SSDH. Read More

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http://dx.doi.org/10.1097/MD.0000000000014598DOI Listing
March 2019
2 Reads

GP who failed to act on red flags for cauda equina syndrome breached duty.

Authors:
Clare Dyer

BMJ 2019 Mar 18;364:l1231. Epub 2019 Mar 18.

The BMJ.

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http://dx.doi.org/10.1136/bmj.l1231DOI Listing

Bacterial meningitis and cauda equina syndrome after trans-sacral epiduroscopic laser decompression: A case report.

Medicine (Baltimore) 2019 Mar;98(11):e14874

Professor, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

Rationale: Trans-sacral epiduroscopic laser decompression (SELD) is a noninvasive pain-relieving procedure for treatment of herniated lumbar disc (HLD), and is known to have positive effects in alleviating lower back pain or radicular leg pain after HLD. However, little is known about the possible complications of SELD.

Patient Concerns: A 51-year-old woman received SELD with a holmium:yttrium-aluminum-garnet laser for controlling radicular pain due to HLD on L5-S1. Read More

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http://dx.doi.org/10.1097/MD.0000000000014874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426585PMC
March 2019
4 Reads

Malignant Transformation of a Filum Terminale Dermoid Tumor into Adenocarcinoma.

World Neurosurg 2019 Mar 11. Epub 2019 Mar 11.

Departments of Neurosurgery.

Background: Intraspinal dermoid tumors are usually rare benign growths that occur as a result of defects during neural tube formation. They make up less than 1% of tumors in the spine and are associated with spinal dysraphisms or sinus tracts. Although rare, malignant transformation into squamous cell carcinoma has been previously reported. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193065
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http://dx.doi.org/10.1016/j.wneu.2019.03.031DOI Listing
March 2019
4 Reads

Spinal Stenosis in Familial Transthyretin Amyloidosis.

J Neuromuscul Dis 2019 Mar 7. Epub 2019 Mar 7.

MRC Centre for Neuromuscular Diseases, UCL Institute of Neurology and National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

Here we describe a patient with genetically confirmed ATTR, a family history of the disease and histological confirmation following carpal tunnel release surgery but no other manifestations. The first major neurological or systemic manifestation was cauda equina syndrome with ATTR deposits contributing to lumbar spinal stenosis. Recent gene therapy trials showed improvement in the neuropathy in TTR amyloidosis. Read More

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http://dx.doi.org/10.3233/JND-180348DOI Listing
March 2019
1 Read

Neural Mobilization in a 54-Year-Old Woman With Postoperative Spinal Adhesive Arachnoiditis.

J Chiropr Med 2018 Dec 20;17(4):283-288. Epub 2019 Jan 20.

Radiology Department, Logan University, Chesterfield, Missouri.

Objective: This case report describes the clinical features, complications, imaging characteristics, and management of postoperative spinal adhesive arachnoiditis.

Clinical Features: A 54-year-old woman presented with right posterior thigh and leg pain after a lumbar spine fusion surgery to correct a degenerative spondylolisthesis of L3/4. Her pain was sharp and shooting and worsened with knee extension. Read More

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http://dx.doi.org/10.1016/j.jcm.2018.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391232PMC
December 2018
2 Reads

Traumatic Fracture of the Pediatric Cervical Spine: Etiology, Epidemiology, Concurrent Injuries, and an Analysis of Perioperative Outcomes Using the Kids' Inpatient Database.

Int J Spine Surg 2019 Jan 22;13(1):68-78. Epub 2019 Feb 22.

Division of Spinal Surgery, Departments of Orthopaedic and Neurological Surgery, Hospital for Joint Diseases at NYU Langone Medical Center, NYU School of Medicine, New York, New York.

Background: The study aimed to characterize trends in incidence, etiology, fracture types, surgical procedures, complications, and concurrent injuries associated with traumatic pediatric cervical fracture using a nationwide database.

Methods: The Kids' Inpatient Database (KID) was queried. Trauma cases from 2003 to 2012 were identified, and cervical fracture patients were isolated. Read More

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http://dx.doi.org/10.14444/6009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383458PMC
January 2019
7 Reads

Cauda Equina Syndrome as the first Manifestation of von Hippel-Lindau Disease: A Case Report.

World Neurosurg 2019 Feb 16. Epub 2019 Feb 16.

Department of Orthopedics, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China; Hangzhou Medical College People's Hospital, Hangzhou, Zhejiang, China. Electronic address:

Background: Von-Hippel Lindau (VHL) disease is rare neurocutaneous disorder arising from an inactivating mutation of the VHL gene on chromosome 3p35. The disease is inherited in an autosomal dominant fashion and predominantly involves tissues originating from the ectodermal germ layer. Although hemangioblastomas of retina and cerebellum are the most common clinical features, multiple-organ involvement in the form of renal cell carcinomas, spinal hemangioblastomas, renal cysts, pancreatic cysts have also been reported. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.269DOI Listing
February 2019
6 Reads

Clinic to in-home telemedicine reduces barriers to care for patients with MS or other neuroimmunologic conditions.

Neurol Neuroimmunol Neuroinflamm 2018 Nov 2;5(6):e505. Epub 2018 Oct 2.

Division of Neuroinflammation and Glial Biology (R.B., P.G., C.J.B., E.C-H., A.J.G., J.M.G.), Department of Neurology, Weill Institute for the Neurosciences, UCSF MS and Neuroinflammation Center, University of California; and Neuro-ophthalmology Division (A.J.G.), Department of Ophthalmology, University of California, San Francisco.

Objective: To describe the routine use of telemedicine-enabled neurologic care in an academic outpatient MS and neuroimmunology clinic and quantify its role in reducing patient burden.

Methods: Between January 2017 and December 2017, we surveyed patients and MS neurologists after 50 consecutive routinely scheduled televideo visits and a convenience sample of 100 in-clinic visits. Summary statistics were calculated and comparisons performed. Read More

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http://dx.doi.org/10.1212/NXI.0000000000000505DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354660PMC
November 2018

Rapid Development of Spinal Epidural Lipomatosis after Treatment of Metastatic Castration-resistant Prostate Cancer with Second-Generation Androgen Receptor Antagonists.

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Neurosurgery, Ohio State University Wexner Medical Center, Columbus, OH, US.

Background: Previous studies have described the association of spinal epidural lipomatosis with several conditions including chronic steroid therapy, Cushing's syndrome, obesity, Paget's disease, and hypothyroidism. We present a report of rapid development of spinal epidural lipomatosis after treatment with second-generation anti-androgen therapy, a new strategy for treatment of metastatic castration-resistant prostate cancer which has been increasingly employed in the past few years. A comprehensive discussion of the underlying molecular networks involving androgen receptor blockage and adipocyte differentiation as well as the clinical implications of such a phenomenon is provided. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193033
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http://dx.doi.org/10.1016/j.wneu.2019.01.222DOI Listing
February 2019
12 Reads

Manipulative Therapies: What Works.

Am Fam Physician 2019 Feb;99(4):248-252

University of Florida, Gainesville, FL, USA.

Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, comparable with other standard treatments. When compared with oral analgesics, cervical manipulation and/or mobilization appears to provide better short-term pain relief and improved function in patients with neck pain. Read More

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February 2019
2 Reads

Surgical Intervention for Osteoporotic Vertebral Burst Fractures in Middle-low Lumbar Spine with Special Reference to Postoperative Complications Affecting Surgical Outcomes.

Neurol Med Chir (Tokyo) 2019 Mar 13;59(3):98-105. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, Yokohama City University Hospital.

The purpose of this study was to investigate the clinical and radiological features of osteoporotic burst fractures affecting levels below the second lumbar (middle-low lumbar) vertebrae, and to clarify the appropriate surgical procedure to avoid postoperative complications. Thirty-eight consecutive patients (nine male, 29 female; mean age: 74.8 years; range: 60-86 years) with burst fractures affecting the middle-low lumbar vertebrae who underwent posterior-instrumented fusion were included. Read More

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http://dx.doi.org/10.2176/nmc.oa.2018-0232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434421PMC
March 2019
1 Read

Symptomatic Idiopathic Spinal Epidural Lipomatosis in 9 Patients: Clinical, Radiologic, and Pathogenetic Features.

World Neurosurg 2019 Jan 29. Epub 2019 Jan 29.

The Atkinson Morley Neurosurgical Department, St. George's Hospital, Tooting, England.

Background: Symptomatic spinal epidural lipomatosis (SSEL) is characterized by hypertrophy of adipose tissue within the spinal canal and consequent neural compromise. The exact pathogenesis remains enigmatic. The authors describe a retrospective case series, define the full clinical spectrum, and discuss possible pathogenetic mechanisms. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.098DOI Listing
January 2019

Limbus Vertebral Fracture Presenting as Cauda Equina Syndrome Masquerading An Acute Disc Prolapse - A Rare Case Report and Review of Literature.

J Orthop Case Rep 2018 Jul-Aug;8(4):38-40

Department of Orthopaedics, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Introduction: Limbus vertebral fracture is an uncommon injury described in adolescents. It refers to the separation of a bony fragment from the unfused ring apophysis of lumbar vertebral end plate. It usually presents with back pain with/without radiculopathy masquerading an acute disc prolapse. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343561PMC
January 2019
2 Reads

Foraminoplasty at the Tip or Base of the Superior Articular Process for Lateral Recess Stenosis in Percutaneous Endoscopic Lumbar Discectomy: A Multicenter, Retrospective, Controlled Study with 2-Year Follow-Up.

Biomed Res Int 2018 19;2018:7692794. Epub 2018 Dec 19.

Department of Orthopaedics, The Second Affiliated Hospital, Chongqing Medical University, No. 76 Linjiang Road, District Yuzhong, Chongqing, China.

Objective: To compare the clinical efficacy and complications which obtained foraminoplasty at the tip or base of the superior articular process (SAP) for the patients with lateral recess stenosis treated by percutaneous endoscopic lumbar discectomy (PELD).

Methods: Between January 2015 and January 2016, 156 patients of lumbar disc herniation accompanying with lateral recess stenosis were treated with PELD in five tertiary hospitals and fulfilled the 2-year follow-up. Among them, 78 patients obtained a foraminoplasty at the tip of SAP (group A), and foraminoplasty at the base of SAP was performed in the other 78 cases (group B). Read More

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http://dx.doi.org/10.1155/2018/7692794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313963PMC
December 2018
9 Reads

Dermal papillae flattening of thigh skin in Syndrome.

Eur J Transl Myol 2018 Nov 13;28(4):7914. Epub 2018 Dec 13.

Interdepartmental Research Center of Myology, Department of Neuroscience, Section of Human Anatomy, University of Padova, Italy.

Our previous studies have shown that severely atrophic Quadriceps muscles of spinal cord injury (SCI) persons suffering with complete and syndrome, and thus with permanent denervation-induced atrophy and degeneration of muscle, were almost completely rescued to normal size after two years of home based Functional Electrical Stimulation (hbFES). Since large surface electrodes were used to stimulate the denervated thigh muscles, we wanted to know if the skin was affected by this peculiar long-term treatment. Indeed, we demonstrated by two approaches that the epidermis decreases in thickness in the long term denervated persons, while it increased to almost pre-SCI values in hbFES compliant SCI persons. Read More

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http://dx.doi.org/10.4081/ejtm.2018.7914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317141PMC
November 2018
2 Reads

Myokines in Home-Based Functional Electrical Stimulation-Induced Recovery of Skeletal Muscle in Elderly and Permanent Denervation.

Eur J Transl Myol 2018 Nov 16;28(4):7905. Epub 2018 Nov 16.

Istituto di Istologia ed Embriologia, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Neuromuscular disorders, disuse, inadequate nutrition, metabolic diseases, cancer and aging produce muscle atrophy and this implies that there are different types of molecular triggers and signaling pathways for muscle wasting. Exercise and muscle contractions may counteract muscle atrophy by releasing a group of peptides, termed myokines, to protect the functionality and to enhance the exercise capacity of skeletal muscle. In this review, we are looking at the role of myokines in the recovery of permanent denervated and elderly skeletal muscle tissue. Read More

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http://dx.doi.org/10.4081/ejtm.2018.7905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317133PMC
November 2018
3 Reads

Intravascular Papillary Endothelial Hyperplasia (Masson's Tumor) Within Cauda Equina.

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 5;2(11):e087. Epub 2018 Nov 5.

Department of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.

Objective: To describe a rare case of intravascular papillary endothelial hyperplasia (IPEH), also called as Masson's tumor, in a patient with the cauda equina syndrome presenting with low back pain and leg pain.

Summary Of Background Data: There are no studies that have reported a case of IPEH within the cauda equina.

Methods: A 40-year-old man with no prior medical history presented with low back pain and leg pain beginning approximately 5 years ago and a month ago, respectively. Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324899PMC
November 2018

Posterior epidural migration of herniated lumbar disc fragment: a literature review.

Neurosurg Rev 2019 Jan 6. Epub 2019 Jan 6.

Department of Neurosurgery, Bonifatius Hospital, Wilhelmstr. 13, 49808, Lingen, Germany.

Herniated disc fragments' migration to posterior epidural locations is a very rare pathological condition, and the mechanism is not well understood. Posterior epidural migration may lead to serious neurologic problems; however, its diagnosis and treatment are challenging. We searched PubMed and Google Scholar, using various keyword combinations, and found 111 cases of posterior epidural disc migration in the lumbar region reported between 1973 and 2018. Read More

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http://link.springer.com/10.1007/s10143-018-01065-1
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http://dx.doi.org/10.1007/s10143-018-01065-1DOI Listing
January 2019
14 Reads
1.861 Impact Factor

Imaging features of spinal atypical teratoid rhabdoid tumors in children.

Medicine (Baltimore) 2018 Dec;97(52):e13808

Department of Pathology, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong, China.

This study aims to analyze and summarize the imaging features of spinal atypical teratoid/rhabdoid tumors (AT/RT) in children.Imaging features in 8 children with spinal AT/RT confirmed by surgical pathology were retrospectively analyzed. All patients had underwent total spine 3. Read More

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http://dx.doi.org/10.1097/MD.0000000000013808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314652PMC
December 2018
12 Reads

Non-compressive postoperative cauda equina syndrome following decompression and transforaminal interbody fusion surgery.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Postoperative cauda equina syndrome (CES) is a known rare complication following lumbar disc surgery. Seldom are they seen following decompression for spinal stenosis and may be actually more frequent and under-reported? Emergent surgical exploration remains the mainstay of management as the factors responsible for postop CES remains a variety of compressive forces. Yet many a time postoperative imaging or surgical exploration fails to identify a pathology and this leads to an ischaemic theory responsible for CES. Read More

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http://dx.doi.org/10.1136/bcr-2018-227219DOI Listing
November 2018
3 Reads

Operative Management of Perinatal Lumbar Disc Herniation and Cauda Equina Syndrome: A Case Series

Ir Med J 2018 Dec 6;111(10):843. Epub 2018 Dec 6.

National Spinal Injuries Units, Department of Trauma & Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.

Introduction Perinatal lumbar discectomy for lumbar disc herniation or cauda equina syndrome is a rare clinical scenario. This case series outlines the surgical management of this clinical scenario at a national tertiary referral centre over a 10-year period Methods A retrospective review of all females who underwent discectomy / decompression for lumbar disc herniation or cauda equina syndrome in the perinatal period at a national tertiary referral centre for spine surgery over a 10-year period between January 2008 to December 2017. Results 6 cases required surgical intervention. Read More

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December 2018
1 Read

Vertebral solitary bone plasmacytoma in a young adult with Trisomy 21: A case report.

J Spinal Cord Med 2018 Dec 17:1-4. Epub 2018 Dec 17.

a Neurology's Department , Habib Bourguiba Hospital , Sfax , Tunisia.

Context: Solitary bone plasmacytoma (SBP) are rare lesions, accounting for less than 5% of all plasma cell proliferations. We describe a case of a 21-year-old female with Trisomy 21 presenting with cauda equina compression from an SBP.

Findings: Solitary bone plasmacytoma (SBP) is a rare primary bone tumor. Read More

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https://www.tandfonline.com/doi/full/10.1080/10790268.2018.1
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http://dx.doi.org/10.1080/10790268.2018.1557866DOI Listing
December 2018
8 Reads

Understanding cauda equina syndrome: protocol for a UK multicentre prospective observational cohort study.

BMJ Open 2018 Dec 14;8(12):e025230. Epub 2018 Dec 14.

Department for Clinical Neurosciences, Western General Hospital, Edinburgh, UK.

Introduction: Cauda equina syndrome (CES) is a potentially devastating condition caused by compression of the cauda equina nerve roots. This can result in bowel, bladder and sexual dysfunction plus lower limb weakness, numbness and pain. CES occurs infrequently, but has serious potential morbidity and medicolegal consequences. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-025230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303568PMC
December 2018
4 Reads

An observation of massive lumbar disc prolapse.

J Spine Surg 2018 Sep;4(3):583-587

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation, Oswestry, Shropshire, UK.

Background: The aim of this study was to investigate whether massive lumbar disc herniations (LDH) can be managed safely with non-operative treatment. Whilst most LDH are treated successfully with analgesia and physiotherapy, there is little literature regarding the treatment of massive LDH. Their impressive size raises the suspicion that they may cause cauda equina syndrome and are therefore often treated surgically. Read More

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http://jss.amegroups.com/article/view/4245/4794
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http://dx.doi.org/10.21037/jss.2018.07.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261772PMC
September 2018
18 Reads

Nocardial spinal epidural abscess with lumbar disc herniation: A case report and review of literature.

Medicine (Baltimore) 2018 Dec;97(49):e13541

Department of Spine Surgery.

Rationale: Nocardial spinal epidural abscess is rare. The diagnosis is often difficult to make and, if delayed, poses a high risk of long-term disability. Nocardial spinal epidural abscess with severe lumbar disc herniation has not previously been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000013541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310552PMC
December 2018
2 Reads

Otopathology in Angiosarcoma of the Temporal Bone.

Laryngoscope 2019 Mar 11;129(3):737-742. Epub 2018 Dec 11.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts.

Objectives/hypothesis: Investigate the otopathology of angiosarcoma of the temporal bone, which has not been previously described in the literature.

Study Design: Postmortem evaluation and literature review.

Methods: Postmortem histological evaluation of the temporal bones and review of the literature for the treatment and prognosis of this rare disease were performed. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27281
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http://dx.doi.org/10.1002/lary.27281DOI Listing
March 2019
6 Reads

Factors that influence neurological deficit and recovery in lumbar disc prolapse-a narrative review.

Int Orthop 2019 Apr 24;43(4):947-955. Epub 2018 Nov 24.

Department of spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.

Neurodeficit due to lumbar disc herniation (LDH) is a serious complication and can range from sensory hypoesthesia in a single dermatome to a debilitating condition like cauda equina syndrome (CES). Many authors have described variable clinical and radiological risk factors for neurodeficit in LDH. Similarly the prognostic factors influencing recovery have been variable across the studies. Read More

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http://link.springer.com/10.1007/s00264-018-4242-y
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http://dx.doi.org/10.1007/s00264-018-4242-yDOI Listing
April 2019
18 Reads

Does the Surgical Timing and Decompression Alone or Fusion Surgery in Lumbar Stenosis Influence Outcome in Cauda Equina Syndrome?

Asian Spine J 2019 Apr 27;13(2):198-209. Epub 2018 Nov 27.

Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India.

Study Design: A retrospective comparative analysis of 64 patients with cauda equina syndrome (CES), who underwent either decompression alone (NF) or fusion (F) surgery.

Purpose: We compared the outcomes and timing effects.

Overview Of Literature: CES can cause loss of autonomic control of vesicular function and lower limb neurological deficits. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
Publisher Site
http://dx.doi.org/10.31616/asj.2018.0168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454274PMC
April 2019
12 Reads

Secondary sacral tethered cord syndrome after treatment of secondary cervical syringomyelia.

J Clin Neurosci 2019 Mar 22;61:285-289. Epub 2018 Nov 22.

Department of Neurosurgery, HELIOS Klinikum, Erfurt, Germany.

A female patient operated at the age of 11 on a pilocytic astrocytoma in the posterior fossa, was re-operated for a recurrence 9 years later. A Torkildsen drain was placed in the 4th ventricle and she remained asymptomatic for 15 years before presenting again with acute hydrocephalus, tonsillar herniation, and a massive cervicothoracic syrinx. The symptoms retreated following craniocervical untethering and decompression. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.010DOI Listing
March 2019
3 Reads

Intradural Disc a Diagnostic Dilemma: Case Series and Review of Literature.

Asian J Neurosurg 2018 Oct-Dec;13(4):1033-1036

Department of Orthopedic, King Edward Memorial Hospital, Mumbai, India.

Introduction: We present a case series of six cases of intradural disc herniation at L4-L5 level diagnosed on the basis of intraoperative findings.

Result: All our cases, on preoperative magnetic resonance imaging (MRI) were reported as having diffuse annular bulge with large posterocentral extrusion. Our study comprised patients in age group of 30-60 years. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_55_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208249PMC
November 2018
14 Reads

Guillain-Barré Syndrome and Low Back Pain: Two Cases and Literature Review.

Open Med (Wars) 2018 22;13:503-508. Epub 2018 Oct 22.

Department of Neurology, Brain Research Center, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Hangzhou China.

Purpose: To describe the clinical, electrophysiological, and lumbar magnetic resonance imaging (MRI) features of two cases of atypical Guillain-Barré syndrome (GBS). Methods We reported two GBS variant cases with initial and prominent symptoms of low back pain. We analysed their clinical, electrophysiological, and lumbar MRI features. Read More

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http://www.degruyter.com/view/j/med.2018.13.issue-1/med-2018
Publisher Site
http://dx.doi.org/10.1515/med-2018-0074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6227845PMC
October 2018
23 Reads

Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature.

Case Rep Orthop 2018 22;2018:1945149. Epub 2018 Oct 22.

Department of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, India.

Introduction: Osteolipomas are uncommon variants of lipoma. These lesions have been usually reported to arise from the oral cavity, brain, and neck and scarcely from the knee and thigh. Intraspinal osteolipomas are rare. Read More

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https://www.hindawi.com/journals/crior/2018/1945149/
Publisher Site
http://dx.doi.org/10.1155/2018/1945149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217886PMC
October 2018
18 Reads

A Case Report of Paravertebral Block: A Safe Alternative for Microdiscectomy in a Pregnant Patient.

A A Pract 2018 Nov 1. Epub 2018 Nov 1.

From the Department of Anesthesiology and Pain, Fortis Memorial Research Institute, Gurugram, Haryana, India.

Nonobstetric surgery during pregnancy is common. Administration of safe anesthesia to a pregnant patient, while minimizing its side effects on the fetus, is a major challenge for the anesthesiologist. Both general anesthesia and central neuraxial block are associated with risks during early pregnancy. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000921DOI Listing
November 2018

Cauda equina syndrome-the questions.

Authors:
Andrew Quaile

Int Orthop 2019 Apr 29;43(4):957-961. Epub 2018 Oct 29.

Hampshire Clinic, Basing Road, Basingtoke, RG24 7AL, UK.

Cauda equina syndrome is a devastating condition often following an innocent pathology in the form of a disc prolapse. The effect on sufferers, however, can be lifelong. It is necessary to make a diagnosis as expeditiously as possible via adequate history, clinical examination and appropriate imaging to offer treatment, in the form of decompressive surgery within 48 hours. Read More

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http://dx.doi.org/10.1007/s00264-018-4208-0DOI Listing
April 2019
1 Read

Depression Increases the Rates of Neurological Complications and Failed Back Surgery Syndrome in Patients Undergoing Lumbar Spine Surgery.

Clin Spine Surg 2019 Mar;32(2):E78-E85

Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Study Design: This was a retrospective database study.

Objective: The aim of this study was to use a large sample to accurately determine risk factors and rates of neurological complications in patients undergoing commonly performed lumbar spine surgeries.

Summary Of Background Data: Damage to neurological structures and failed back surgery syndrome (FBSS) are among the most feared complications of lumbar spine surgery. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000730DOI Listing
March 2019
8 Reads

Intravascular large B-cell lymphoma presenting as an isolated cauda equina-conus medullaris syndrome - A case report.

J Spinal Cord Med 2018 Oct 22:1-4. Epub 2018 Oct 22.

b Department of Neurology , University of Missouri School of Medicine , Columbia , Missouri , USA.

Context: Intravascular large B-cell lymphoma (IVLBCL) is a rare form of Non-Hodgkin lymphoma. The central nervous system, skin and hematopoietic system are the most commonly affected sites. We report a case of IVLBCL presenting as a combined conus medullaris-cauda equina syndrome. Read More

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http://dx.doi.org/10.1080/10790268.2018.1527083DOI Listing
October 2018
8 Reads

Bladder Recovery Patterns in Patients with Complete Cauda Equina Syndrome: A Single-Center Study.

Asian Spine J 2018 Dec 16;12(6):981-986. Epub 2018 Oct 16.

Department of Spine Surgery, Indian Spinal Injuries Centre, New Delhi, India.

Study Design: Retrospective case series.

Purpose: Cauda equina syndrome (CES) is associated with etiologies such as lumbar disc herniation (LDH) and lumbar canal stenosis (LCS). CES has a prevalence of 2% among patients with LDH and exhibits variable outcomes, even with early surgery. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
Publisher Site
http://dx.doi.org/10.31616/asj.2018.12.6.981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284130PMC
December 2018
17 Reads

The clinical features and outcome of scan-negative and scan-positive cases in suspected cauda equina syndrome: a retrospective study of 276 patients.

J Neurol 2018 Dec 8;265(12):2916-2926. Epub 2018 Oct 8.

Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

Background: The majority of patients presenting with suspected clinical cauda equina syndrome (CES) have no identifiable structural cause for their symptoms ('scan-negative' CES). Understanding these patients aids clinical differentiation and management in CES.

Methods: A retrospective electronic note review was undertaken of patients presenting with suspected CES, defined as ≥ 1 of acute bladder, bowel, sexual dysfunction or saddle numbness, to a regional neurosciences centre. Read More

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http://dx.doi.org/10.1007/s00415-018-9078-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244667PMC
December 2018
5 Reads

Spinal Emergencies in Primary Care Practice.

Am J Med 2019 Mar 3;132(3):300-306. Epub 2018 Oct 3.

Division of Spine Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI.

Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency departments. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029343183094
Publisher Site
http://dx.doi.org/10.1016/j.amjmed.2018.09.022DOI Listing
March 2019
8 Reads

Fungal cauda equina lesion with delayed cord compression and treatment response.

Clin Neurol Neurosurg 2018 Nov 21;174:185-186. Epub 2018 Sep 21.

University of Vermont Medical Center, Department of Neurological Sciences, 111 Colchester Avenue, Burlington, VT, 05401, United States. Electronic address:

This is a 24 year old man with profound chronic hydrocephalus found to have a cauda equina abscess composed of Candida albicans. Prior literature reveals a paucity of central nervous system candidiasis. In these previously reported cases, there was evidence of local invasion of surrounding structures; however, this case is a sentinel report of a fungal abscess without evidence of local structural invasion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03038467183039
Publisher Site
http://dx.doi.org/10.1016/j.clineuro.2018.09.029DOI Listing
November 2018
26 Reads

Informed appropriate imaging for low back pain management: A narrative review.

J Orthop Translat 2018 Oct 27;15:21-34. Epub 2018 Aug 27.

Department of Radiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2214031X183008
Publisher Site
http://dx.doi.org/10.1016/j.jot.2018.07.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148737PMC
October 2018
20 Reads