1,996 results match your criteria Cauda Equina Syndrome


Primary lumbar paraganglioma: clinical, radiological, surgical and histopathological characteristics from a case series of 13 patients.

World Neurosurg 2020 May 23. Epub 2020 May 23.

Department of Neurosurgery, King's College Hospital, London, UK.

Background: Paragangliomas are uncommon neuro-endocrine tumours, rarely occurring in the lumbar spine. Primary lumbar paragangliomas are prominently vascularised, can present variably and pose both diagnostic and surgical challenges. We report on a large case series with long-term follow-up and intra-operative footage to characterise the natural history, diagnostic and operative approach to this rare surgical disease. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.144DOI Listing

International Framework for Red Flags for Potential Serious Spinal Pathologies.

J Orthop Sports Phys Ther 2020 May 21:1-23. Epub 2020 May 21.

Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom.

Synopsis: The International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) led the development of a framework to help clinicians assess and manage people who may have serious spinal pathology. While rare, serious spinal pathology can have devastating and life-changing or life-limiting consequences, and must be identified early and managed appropriately. Red flags (signs and symptoms that might raise suspicion of serious spinal pathology) have historically been used by clinicians to identify serious spinal pathology. Read More

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http://dx.doi.org/10.2519/jospt.2020.9971DOI Listing

Sexual and Bladder Dysfunction in Cauda Equina Syndrome: Correlation with Clinical and Urodynamic Studies.

Asian Spine J 2020 May 21. Epub 2020 May 21.

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

Study Design: Retrospective cohort study.

Purpose: To analyze the clinical and sphincteric outcomes and the extent of sexual dysfunction (SD) in subjects with cauda equina syndrome (CES) and to assess their correlation with patient-reported and clinical/urodynamic parameters.

Overview Of Literature: Despite vast literature present for CES, extent of the problem of SD in CES patients has not received enough attention as reflected by the limited information in literature. Read More

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http://dx.doi.org/10.31616/asj.2019.0305DOI Listing

Risk factors for Residual Neurologic Deficits after Surgical Treatment for Epidural Abscess in the Thoracic or Lumbar Spine.

Spine J 2020 May 14. Epub 2020 May 14.

School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.

Background Context: Spinal epidural abscess (SEA) can cause neurologic deficits and needs urgent surgical intervention. Many clinical factors had been proposed to predict surgical outcomes in patients with SEA, but the predictive radiographic risk factors for residual neurologic deficits were not addressed sufficiently.

Purpose: To analyze the clinical and radiographic risk factors for residual neurologic deficit in patients with SEA after surgical intervention of the thoracic or lumbar spine. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.05.001DOI Listing

Legal Implications in the Care of Orthopedic Patients: Serious Complications.

Nurs Clin North Am 2020 Jun 15;55(2):209-224. Epub 2020 Apr 15.

American Association of Legal Nurse Consultants, Chicago, IL, USA; The Pat Iyer Group, 11205 Sparkleberry Drive, Fort Myers, FL 33913, USA.

To help reduce potentially devastating outcomes from spinal complications and venous thromboembolism, it is essential for the bedside nurse to have a comprehensive understanding of risk factors and assessments. The orthopedic nurse carries a responsibility for accurately assessing, documenting, and mobilizing the team when abnormal changes occur. Nurses act as patient advocates. Read More

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http://dx.doi.org/10.1016/j.cnur.2020.02.003DOI Listing

Lower urinary tract dysfunction in common neurological diseases.

Turk J Urol 2020 Apr 30. Epub 2020 Apr 30.

Department of Urology/General Surgery, Areteion Hospital, Athens, Greece.

The lower urinary tract has the main function of urine storage and voiding. The integrity of the lower urinary tract nerve supply is necessary for its proper function. Neurological disorders can lead to lower urinary tract dysfunction (LUTD) and cause lower urinary tract symptoms (LUTS). Read More

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http://dx.doi.org/10.5152/tud.2020.20092DOI Listing

Intradural extramedullary metastasis: a review of literature and case report.

Spinal Cord Ser Cases 2019 May 8;5(1):41. Epub 2019 May 8.

Department of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA.

Introduction: Intradural extramedullary (IDEM) metastatic disease is infrequently encountered by spine surgeons and consequently poorly understood. Discovery often corresponds with the onset of neurologic symptoms and no consensus exists regarding the importance of complete resection or anticipated postoperative outcome. We aim to elucidate treatment methodologies that exist in the literature. Read More

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http://dx.doi.org/10.1038/s41394-019-0181-0DOI Listing

Recovery after traumatic thoracic- and lumbar spinal cord injury: the neurological level of injury matters.

Spinal Cord 2020 May 5. Epub 2020 May 5.

Department of Neurosurgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Study Design: Multicenter prospective cohort.

Objective: To discern neurological- and functional recovery in patients with a traumatic thoracic spinal cord injury (TSCI), conus medullaris syndrome (CMS), and cauda equina syndrome (CES).

Setting: Specialized spinal cord injury centers in Europe. Read More

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http://dx.doi.org/10.1038/s41393-020-0463-1DOI Listing

Spinal subdural, extra-arachnoid hygroma following lumbar decompression: a rare case following cauda equina syndrome.

ANZ J Surg 2020 Apr 27. Epub 2020 Apr 27.

Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand.

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http://dx.doi.org/10.1111/ans.15927DOI Listing

Emergency stabilisation by single-stage posterior transpedicular approach for treatment of unstable lumbar spine fracture with neurological injury.

Trauma Case Rep 2020 Jun 16;27:100300. Epub 2020 Apr 16.

Department of Orthopaedic, Spine Surgery Unit, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.

Management of unstable thoracolumbar fractures remains controversial. Furthermore, when these are accompanied by related neurological injury, the choice of approach, decompression technique and timing of the intervention could have a neuroprotective effect. In terms of site, the lumbar spine represents only 1. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162966PMC

The Cauda Scale - Validation for Clinical Practice.

Br J Neurosurg 2020 Apr 20:1-4. Epub 2020 Apr 20.

Department of Spinal Surgery, Salford Royal NHS Foundation Trust, Stott Lane, UK.

The purpose of this study was to validate the cauda scale (TCS) in an external population. TCS was proposed as a tool to be used to predict the likelihood of cauda equina compression. We analysed the presenting condition of consecutive patients attending the emergency department undergoing a magnetic resonance scan with a clinical suspicion of cauda equina syndrome (CES). Read More

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http://dx.doi.org/10.1080/02688697.2020.1754337DOI Listing

Cauda equina syndrome in an obese pregnant patient secondary to double level lumbar disc herniation - A case report and review of literature.

Spinal Cord Ser Cases 2019 04 15;5(1):33. Epub 2019 Apr 15.

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

Introduction: Lumbar disc herniation during pregnancy poses a significant challenge to the spine surgeon towards achieving good clinical, maternal, and fetal outcomes. Surgical intervention is warranted in patients with significant neural deficits, and cauda equina syndrome and needs to be performed at the earliest in order to avoid irreversible neurological sequelae.

Case Presentation: We report a 29-year-old primigravida in her 21st week of gestational period, who was diagnosed with cauda equina syndrome secondary to two level lumbar disc herniations. Read More

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http://dx.doi.org/10.1038/s41394-019-0179-7DOI Listing

Acute Aortic Thrombus Presenting as Cauda Equina Syndrome.

J Emerg Med 2020 Apr 10. Epub 2020 Apr 10.

Musculoskeletal Radiology Consultant, Radiology Department, Princess of Wales Hospital, Bridgend, United Kingdom.

Background: Occlusive abdominal aortic thrombus is a rare but critical clinical emergency with life-threatening consequences. Clinical presentation may mimic other diagnoses, resulting in a delay in the appropriate investigations for this condition. Spinal arterial involvement is a recognized complication of aortic thrombus and can result in pain, lower limb weakness, and loss of continence. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.03.011DOI Listing

Limited sequence MRI to improve standards of care for suspected cauda equina syndrome.

Bone Joint J 2020 Apr;102-B(4):501-505

Stoke Mandeville Hospital, Aylesbury, UK.

Aims: Early cases of cauda equina syndrome (CES) often present with nonspecific symptoms and signs, and it is recommended that patients undergo emergency MRI regardless of the time since presentation. This creates substantial pressure on resources, with many scans performed to rule out cauda equina rather than confirm it. We propose that compression of the cauda equina should be apparent with a limited sequence (LS) scan that takes significantly less time to perform. Read More

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http://dx.doi.org/10.1302/0301-620X.102B4.BJJ-2019-0645.R2DOI Listing

Combined Posterior-Anterior Interbody Fusion in the Management of Traumatic Lumbosacral Dissociation: A Case Report and Review of Literature.

Cureus 2020 Feb 24;12(2):e7089. Epub 2020 Feb 24.

Neurosurgery, University of Florida College of Medicine, Gainesville, USA.

Traumatic lumbosacral dissociation is a unique, but well-documented, phenomenon that generally stems from high-energy impact injuries to the lower lumbar spine. Patients typically present with complicated and multisystem injuries with wide-ranging neurological deficits below the level of trauma. This presents stark challenges regarding the diagnosis, management, and surgical correction technique utilized. Read More

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http://dx.doi.org/10.7759/cureus.7089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096069PMC
February 2020

Spinal Cord Tethering, a Very Rare Cause of Cauda Equina Syndrome after Lumbar Disk Surgery: A Case Report.

Prague Med Rep 2020 ;121(1):49-54

Department of Neurosurgery, Iran University of Medical Sciences, 7Tir Hospital, Tehran, Iran.

Tethered cord syndrome (TCS) may rarely remain asymptomatic until degenerative or nondegenerative lumbar diseases superimpose in adulthood and expose the hidden anomaly. In such cases, different treatment options can be selected and simultaneous detethering might be considered too. We are reporting an undiscovered TCS in a young lady who underwent lumbar diskectomy due to symptomatic disk extrusion and suffered complete cauda equina syndrome (CES), postoperatively. Read More

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http://dx.doi.org/10.14712/23362936.2020.5DOI Listing
January 2020

Heel lift improves walking ability of persons with traumatic cauda equina syndrome-a pilot experimental study.

Spinal Cord Ser Cases 2020 Mar 17;6(1):16. Epub 2020 Mar 17.

Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India.

Study Design: Non-randomized within-subject experimental study.

Objective: To determine whether the addition of the 1 cm heel lift to the footwear improves the walking ability of the persons with Cauda Equina Syndrome (CES).

Setting: Department of Physical Medicine and Rehabilitation, Christian Medical College, India. Read More

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http://dx.doi.org/10.1038/s41394-020-0266-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078180PMC

Spinal Subdural Abscess following Transforaminal Lumbar Interbody Fusion.

Case Rep Orthop 2020 22;2020:7372821. Epub 2020 Feb 22.

Department of Spinal Surgery, Kameda Medical Center, 929 Higashi-cho, Kamogawa-shi, Chiba 296-8602, Japan.

Spinal subdural abscesses are rare lesions. We report the case of surgical site infection complicated with meningitis and rapidly progressive spinal subdural abscess caused by following transforaminal lumbar interbody fusion (TLIF). A 72-year-old woman was admitted to our hospital complaining of drop foot syndrome and sciatica caused by stenosis of the L5/6 intervertebral foramen accompanied by L5 lumbar vertebral fracture. Read More

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http://dx.doi.org/10.1155/2020/7372821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060421PMC
February 2020

Posterior and anterior epidural and intradural migration of the sequestered intervertebral disc: Three cases and review of the literature.

J Spinal Cord Med 2020 Mar 4:1-6. Epub 2020 Mar 4.

Department of Radiology, Miyazaki Konan Hospital, Miyazaki, Japan.

Dorsal migration of the sequestered lumbar intervertebral disc is an unusual and underrecognized pattern of lumbar disc herniation associated with pain and neurological deficit. Three patients presented with lower limb- and low back pain. MR imaging showed intracanalicular mass lesions with compression of the spinal cord and allowed precise localization of lesions in the extradural or intradural space. Read More

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http://dx.doi.org/10.1080/10790268.2020.1730110DOI Listing

A 63-Year-Old Male with Cauda Equina Syndrome.

Brain Pathol 2020 03;30(2):409-410

Department of Pathology and Lab Medicine, Western University, London, ON, Canada.

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http://dx.doi.org/10.1111/bpa.12816DOI Listing
March 2020
3.840 Impact Factor

Full Endoscopic Lumbar Diskectomy for Lumbar Disk Herniation in the Presence of a Low-Lying Cord.

World Neurosurg 2020 May 19;137:367-371. Epub 2020 Feb 19.

Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

Background: The distal extent of the spinal cord is most often at the level of the L1 or L2 vertebral body. In rare cases, a low-lying cord extends more distally. In this scenario, pathology that normally causes radiculopathy may cause myelopathy due to compression of the cord rather than nerve roots of the cauda equina. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.042DOI Listing

Spina Bifida Occulta with Bilateral Spondylolysis at the Thoracolumbar Junction Presenting Cauda Equina Syndrome.

Case Rep Orthop 2020 13;2020:2425637. Epub 2020 Jan 13.

Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Several reports have described the coexistence of spina bifida occulta (SBO) and spondylolysis, but the majority of defects occur at L5. No report has described the coexistence of SBO and spondylolysis at the thoracolumbar junction. We report a case of SBO with spondylolysis at L1, presenting cauda equine syndrome. Read More

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http://dx.doi.org/10.1155/2020/2425637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983286PMC
January 2020

Is scan-negative cauda equina syndrome a functional neurological disorder? A pilot study.

Eur J Neurol 2020 Feb 19. Epub 2020 Feb 19.

Institute of Mental Health, University College London, London, UK.

Background And Purpose: Cauda equina syndrome (CES) is a neurosurgical emergency which warrants lumbar magnetic resonance imaging (MRI). Many patients with suggestive symptoms of CES have no radiological correlate. A functional (non-organic) aetiology has been proposed in some, but currently little is known about this patient group and their clinical outcomes. Read More

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http://dx.doi.org/10.1111/ene.14182DOI Listing
February 2020

What is the incidence of cauda equina syndrome? A systematic review.

J Neurosurg Spine 2020 Feb 14:1-10. Epub 2020 Feb 14.

1Department of Clinical Neurosciences, Western General Hospital, Edinburgh.

Objective: Cauda equina syndrome (CES) is a surgical emergency requiring timely operative intervention to prevent symptom progression. Accurately establishing the incidence of CES is required to inform healthcare service design and delivery, including out-of-hours imaging arrangements.

Methods: A systematic literature search of MEDLINE, EMBASE, and Scopus was undertaken to identify original studies stating the incidence of CES, and the estimates were combined in a meta-analysis as described in the protocol registered with PROSPERO (registration no. Read More

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http://dx.doi.org/10.3171/2019.12.SPINE19839DOI Listing
February 2020

Comparison of the Safety and Effectiveness of Percutaneous Endoscopic Lumbar Discectomy for Treating Lumbar Disc Herniation Under Epidural Anesthesia and General Anesthesia.

Neurospine 2020 Mar 1;17(1):254-259. Epub 2020 Feb 1.

Department of Spinal Surgery, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.

Objective: To assess the safety and effectiveness of percutaneous endoscopic lumbar discectomy (PELD) under epidural anesthesia (EA) and general anesthesia (GA) for treating lumbar disc herniation (LDH).

Methods: A retrospective study involving 86 patients with LDH managed by PELD under EA and GA was conducted from July 2018 to March 2019. These patients were divided into 2 groups according to the type of anesthesia. Read More

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http://dx.doi.org/10.14245/ns.1938366.183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136111PMC

Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report.

Medicine (Baltimore) 2020 Feb;99(7):e19025

Department of Orthopaedics, Liaocheng People's Hospital, China.

Rationale: Intradural disc herniation has been documented rarely and the pathogenesis remains unclear. The region most frequently affected by intradural lumbar disc herniations is L4-5 level, and the average age of intradural disc herniations is between 50 and 60 years. Although magnetic resonance imaging is a valuable tool in the diagnosis of this disease, it is still difficult to make a definite diagnosis preoperatively. Read More

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http://dx.doi.org/10.1097/MD.0000000000019025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035013PMC
February 2020

Two cases of paralysis secondary to aneurysmal bone cysts with complete neurologic recovery.

Spine Deform 2020 Apr 11;8(2):339-344. Epub 2020 Feb 11.

Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS#69, Los Angeles, CA, 90027, USA.

Design: Case report (retrospective).

Objective: These two cases of paralysis secondary to aneurysmal bone cysts (ABCs) demonstrated complete neurologic recovery following decompression and posterior spinal fusion. Although neurologic injury from ABCs has been described, information about the prognosis in the pediatric population is limited. Read More

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http://dx.doi.org/10.1007/s43390-019-00023-1DOI Listing

Lumbar artery pseudoaneurysm: a rare case of delayed onset incomplete cauda equina syndrome following transforaminal lumbar interbody fusion.

Eur Spine J 2020 Feb 7. Epub 2020 Feb 7.

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

Background: Cauda equina syndrome following transforaminal lumbar interbody fusion (TLIF) is very rare, and the causes implicated include inadequate decompression, retained disc fragments, epidural haematoma, gel foams, fat pad grafts, retained sponges, intradural masses and ischaemia of conus. This is a rare case report of pseudoaneurysm of dorsal branch of lumbar artery presenting with delayed onset incomplete cauda equina syndrome following TLIF.

Objective: To describe the very rare case of lumbar artery pseudoaneurysm causing delayed onset incomplete cauda equina syndrome following TLIF and its management with endovascular embolisation. Read More

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http://dx.doi.org/10.1007/s00586-020-06325-7DOI Listing
February 2020

Cauda equina syndrome due to leptomeningeal carcinomatosis: a medical dilemma.

BMJ Case Rep 2020 Feb 3;13(2). Epub 2020 Feb 3.

General Medicine Department, North Cumbria University Hospitals NHS Trust, Whitehaven, UK.

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http://dx.doi.org/10.1136/bcr-2019-232297DOI Listing
February 2020

Posterior lumbar interbody fusion graft penetrated the lumbar thecal sac in a patient with rheumatoid arthritis: A case report.

Int J Surg Case Rep 2020 23;67:21-24. Epub 2020 Jan 23.

Department of Orthopaedic Surgery, Seoul Spine Institute, Sanggyepaik Hospital, College of Medicine, Inje University, Republic of Korea.

Introduction: Intradural foreign bodies have been reported to be associated with disc material, tumors, and bullets following spinal gunshot injuries. In this report, we describe a case of non-union with minor trauma that caused interbody bone graft material to migrate into the intrathecal area in a patient with RA.

Presentation Of Case: We present the case of a 65-year-old woman visited an outpatient clinic of our hospital after experiencing progressive lower extremity weakness, and voiding and defecation difficulty after fell down several times in the past. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994728PMC
January 2020

Injection Drug Use in Patients with Spinal Epidural Abscess: Nationwide Data, 2000-2013.

Spine (Phila Pa 1976) 2020 Jan 30. Epub 2020 Jan 30.

Department of Orthopaedics, Tufts Medical Center, Boston, MA 02111, USA.

Study Design: Retrospective review of the Healthcare Cost and Utilization Project National Inpatient Sample, 2000-2013.

Objective: To determine the proportion of spinal epidural abscess (SEA) cases that were related to injection drug use (IDU) and to compare length of stay, leaving against medical advice, paralysis, cauda equina syndrome, radiculitis, and in-hospital mortality between SEA cases with and without IDU.

Summary Of Background Data: The US opioid epidemic impacts all aspects of healthcare, including spinal surgeons. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003401DOI Listing
January 2020

Posterior epidural migration of a lumbar disc herniation.

Surg Neurol Int 2020 3;11. Epub 2020 Jan 3.

Department of Neurosurgery, University Hospital Hassan II, Morocco.

Background: Posterior epidural migration of a lumbar disc fragment (PEMLDF) refers to the dorsal migration of disc material around the thecal sac that can lead to radiculopathy and/or cause a cauda equina syndrome. It is rare and the diagnosis is often just established intraoperatively.

Case Description: A 50-year-old male with a chronic history of low back pain and psychosis presented with PEMLDF originating at the L4-L5 level. Read More

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http://dx.doi.org/10.25259/SNI_67_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969374PMC
January 2020

Muscle Weakness in Adults: Evaluation and Differential Diagnosis.

Am Fam Physician 2020 01;101(2):95-108

University of Iowa Carver College of Medicine, Iowa City, IA, USA.

Although the prevalence of muscle weakness in the general population is uncertain, it occurs in about 5% of U.S. adults 60 years and older. Read More

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January 2020

Quantitative analysis of medical students' and physicians' knowledge of degenerative cervical myelopathy.

BMJ Open 2020 Jan 12;10(1):e028455. Epub 2020 Jan 12.

Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK

Objectives: We have previously identified a delay in general practitioner (GP) referrals for patients with degenerative cervical myelopathy (DCM). The aim of this study was to evaluate whether an education gap existed for DCM along the GP training pathway by quantitatively assessing training in, and knowledge of, this condition.

Design: Gap analysis: comparison of DCM to other conditions. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-028455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044983PMC
January 2020

Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies.

PLoS One 2020 10;15(1):e0225907. Epub 2020 Jan 10.

Institute of Translational Medicine, University of Liverpool, Liverpool, Merseyside, United Kingdom.

Background: Cauda Equina Syndrome (CES) is an emergency condition that requires acute intervention and can lead to permanent neurological deficit in working age adults. A Core Outcome Set (COS) is the minimum set of outcomes that should be reported by a research study within a specific disease area. There is significant heterogeneity in outcome reporting for CES, which does not allow data synthesis between studies. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0225907PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953762PMC

Cauda equina syndrome: false-positive diagnosis of neurogenic bladder can be reduced by multichannel urodynamic study.

Eur Spine J 2020 Jan 6. Epub 2020 Jan 6.

Indian Spinal Injuries Center, Vasant Kunj, New Delhi, 110070, India.

Background: The present consensus suggests urgent surgical decompression if clinical features of cauda equina syndrome (CES) are supported by MRI evidence of pressure on cauda equina. However, clinical diagnosis has a high false-positive rate and MRI is a poor indicator. Though urodynamic studies (UDS) provide objective information about the lower urinary tract symptoms experienced by patients including neurogenic bladder, its role in the diagnosis of CES is not established. Read More

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http://dx.doi.org/10.1007/s00586-019-06277-7DOI Listing
January 2020

Is there a link between back pain and urinary symptoms?

Neurourol Urodyn 2020 02 3;39(2):523-532. Epub 2020 Jan 3.

Division of Urology, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Aims: To identify epidemiological studies of mechanical low back pain and urinary dysfunction, and to identify potential evidence supporting a mechanism for this relationship.

Methods: A systematic online search was conducted of EmBASE, Medline, CINAHL, and PEDro databases. We excluded studies where an obvious link between low back pain and urinary dysfunction exists (such as cauda equina syndrome). Read More

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http://dx.doi.org/10.1002/nau.24269DOI Listing
February 2020

The importance of evaluating patients with cauda equina syndrome for predicting prognosis.

Turk J Phys Med Rehabil 2019 Jun 26;65(4):415-416. Epub 2019 Nov 26.

Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey.

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http://dx.doi.org/10.5606/tftrd.2019.5584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935735PMC

Cauda equina syndrome in an ovarian malignant-mixed müllerian tumor with leptomeningeal spread.

Clin Case Rep 2019 Dec 22;7(12):2341-2345. Epub 2019 Oct 22.

Department of Neurology University of Alabama at Birmingham Birmingham AL USA.

Leptomeningeal metastasis is extremely rare in patients with ovarian cancer, but should be considered in patients presenting with neurologic deficits such as cauda equine syndrome. Given its poor prognosis and lack of data currently on management, additional studies are needed to optimize treatment regimens and improve outcomes. Read More

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http://dx.doi.org/10.1002/ccr3.2472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935635PMC
December 2019

Clinical, neuroimaging, and nerve conduction characteristics of spontaneous Conus Medullaris infarction.

BMC Neurol 2019 Dec 17;19(1):328. Epub 2019 Dec 17.

Department of Neurology, Chang Gung Memorial Hospital at Linkou Medical Center, Taoyuan, Taiwan.

Background: Spontaneous conus medullaris infarction is a rare disease. We describe two patients with spontaneous conus medullaris infarction presenting as acute cauda equina syndrome and their unique electromyography (EMG) findings.

Case Presentation: Two patients developed acute low back pain with mild asymmetric paraparesis, loss of perianal sensation and sphincter dysfunction. Read More

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http://dx.doi.org/10.1186/s12883-019-1566-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916224PMC
December 2019

The critical role of histology in distinguishing sarcoidosis from common variable immunodeficiency disorder (CVID) in a patient with hypogammaglobulinemia.

Allergy Asthma Clin Immunol 2019 2;15:78. Epub 2019 Dec 2.

4Department of Molecular Medicine and Pathology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

Background: Common variable immunodeficiency disorders (CVID) are a rare group of primary immune defects, where the underlying cause is unknown. Approximately 10-20% of patients with typical CVID have a granulomatous variant, which has closely overlapping features with sarcoidosis.

Case Presentation: Here we describe a young man who sequentially developed refractory Evans syndrome, cauda equina syndrome and most recently renal impairment. Read More

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http://dx.doi.org/10.1186/s13223-019-0383-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886192PMC
December 2019

Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies.

Vet Med (Auckl) 2019 19;10:169-183. Epub 2019 Nov 19.

Texas A&M Veterinary Medical Teaching Hospital, College Station, TX 77845, USA.

Canine degenerative lumbosacral stenosis (DLSS) is a syndrome of low back pain with or without neurologic dysfunction associated with compression of the . Most commonly occurring in medium- to large-breed dogs of middle to older age, German shepherd and working dogs are predisposed. Diagnosis is based on a combination of clinical signs, advanced imaging and ruling out other differential diagnoses. Read More

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http://dx.doi.org/10.2147/VMRR.S180448DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875490PMC
November 2019

Expediting the management of cauda equina syndrome in the emergency department through clinical pathway design.

BMJ Open Qual 2019 2;8(4):e000597. Epub 2019 Nov 2.

Departement of Emergency Medicine, Imperial College Healthcare NHS Trust, London, UK.

Introduction: Cauda equina syndrome (CES) is a neurosurgical emergency. Early diagnosis with MRI and subsequent surgical decompression surgery can prevent permanent neurological dysfunction. Charing Cross Hospital (CXH) is a tertiary neurosurgical referral centre where in the emergency department (ED), current practice mandated a neurosurgery review prior to requesting MRI. Read More

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http://dx.doi.org/10.1136/bmjoq-2018-000597DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863662PMC
November 2019

Dramatic Resolution of Symptomatic Thoracolumbar Traumatic Spinal Subdural Hygroma with Lumbar Puncture: A Literature Review and Case Illustration.

World Neurosurg 2020 Mar 26;135:19-22. Epub 2019 Nov 26.

Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, New York, USA.

Background: Subdural hygromas are excess fluid accumulations in the subdural compartment, likely occurring via tears in the arachnoid membrane causing cerebrospinal fluid (CSF) leakage into the subdural space. Treatment recommendations for spinal subdural hygromas are lacking.

Case Description: We report a case of a 30-year-old man who developed delayed-onset cauda equina syndrome after a motor vehicle accident. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.103DOI Listing

Pure Conus Medullaris Syndrome without Lower Extremity Involvement Caused by Intradural Disc Herniation at L1/2: A Case Report.

Authors:
Tetsuji Inoue

Spine Surg Relat Res 2019 19;3(4):392-395. Epub 2018 Oct 19.

Department of Orthopaedic Surgery, Minamata City General Hospital and Medical Center, Minamata, Japan.

Introduction: Conus medullaris syndrome (CMS) is a rare pathology. The conus medullaris is located at the end of the spinal cord and continues to the cauda equina. Conus medullaris lesions can cause variable symptoms and neurological deficits, usually involving the lower extremities; CMS that does not affect the lower limbs is extremely rare. Read More

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http://dx.doi.org/10.22603/ssrr.2018-0032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834459PMC
October 2018

Atypical variant of Baastrup's disease with lumbar stenosis and cauda equina syndrome.

Surg Neurol Int 2019 11;10:198. Epub 2019 Oct 11.

Departments of Radiodiagnosis, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Background: Classical Baastrup's disease is a degenerative disorder of the lumbar spine characterized by the approximation of adjacent spinous processes due to excessive lordosis. This results in edema, sclerosis, cyst, bursitis, and midline epidural fibrosis and is often overlooked as a cause of low back pain. Here, we report a patient with atypical Baastrup's disease and lumbar spinal stenosis who presented with a cauda equina syndrome. Read More

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http://dx.doi.org/10.25259/SNI_467_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826273PMC
October 2019

Traumatic bilateral L4-5 facet fracture dislocation: a case presentation with mechanism of injury.

BMC Musculoskelet Disord 2019 Nov 23;20(1):558. Epub 2019 Nov 23.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

Background: Traumatic bilateral locked facet joints at L4-5 level are a rare entity. A careful review only revealed four case reports. This case presented with an unusual mechanism of injury. Read More

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http://dx.doi.org/10.1186/s12891-019-2921-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875427PMC
November 2019
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Cauda Equina Syndrome Secondary to Diffuse Infiltration of the Cauda Equina by Acute Myeloid Leukemia: Case Report and Literature Review.

World Neurosurg 2020 Feb 21;134:439-442. Epub 2019 Nov 21.

Department of Neurosurgery, Tulane Medical Center, New Orleans, Louisiana, USA. Electronic address:

Background: Cauda equina syndrome (CES) results from the dysfunction of the lumbar, sacral, and coccygeal rootlets composing the cauda equina. The underlying etiology is most commonly compression secondary to a large herniated lumbosacral disk; however, any pathology affecting the rootlets can result in the syndrome.

Methods: We present a rare case of CES secondary to neoplastic polyradiculitis in a patient with acute myelogenous leukemia (AML) and review the pertinent literature. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.068DOI Listing
February 2020
2.417 Impact Factor