2,141 results match your criteria Cauda Equina Syndrome


Filum Terminale Arteriovenous Shunt with Nidus Structure: A Report of Rare Condition and Treatment Consideration.

Int J Neurosci 2021 Apr 30:1-5. Epub 2021 Apr 30.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing;

Background: In the literature, filum terminale arteriovenous shunts (FTAVSs) always feature a single shunt point. Nidus-type FTAVSs have rarely been reported, and the best treatment strategy is unclear. This is a report of 1 exceptional case of a nidus-type FTAVS and surgical treatment of the lesion. Read More

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Sacral Giant Cell Tumor-Induced Cauda Equina Syndrome: Case Report with Successful Management.

J Neurosci Rural Pract 2021 Apr 4;12(2):398-401. Epub 2020 Nov 4.

Department of Pathology, All India Institute of Medical Sciences, Patna, Bihar, India.

Sacral giant cell tumor (GCT) is a rare entity. It often presents late after massive enlargement of tumor. Here we are reporting a case of sacral GCT treated successfully at our institute. Read More

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[Incidence, history and clinical findings of tibial neuropathy in German Holstein cows].

Tierarztl Prax Ausg G Grosstiere Nutztiere 2021 Apr 26;49(2):79-90. Epub 2021 Apr 26.

Klinik für Klauentiere, Veterinärmedizinische Fakultät der Universität Leipzig.

Objective: The aim of this study was to document the occurrence, history, and clinical findings of tibial neuropathy in German Holstein dairy cows in order to yield information regarding the importance and etiology of this disorder in dairy herds in Central Germany.

Materials And Methods: This prospective study was undertaken between January 2013 and October 2017 and included 88 German Holstein dairy cows with unilateral (UTN, n = 71) or bilateral (n = 17, BTN) tibial neuropathy. Data were collected from the history as well as the clinical and laboratory examinations. Read More

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Concurrent Longitudinally Extensive Transverse Myelitis and Guillain-Barré Syndrome in a Child Secondary to COVID-19 Infection: A Severe Neuroimmunologic Complication of COVID-19.

Pediatr Infect Dis J 2021 Mar 9. Epub 2021 Mar 9.

From the Department of Pediatrics Neurology Diagnostics & Intervention Radiology, All India Institute of Medical Sciences, Jodhpur, India.

Neurologic manifestation of coronavirus disease 2019 (COVID-19) in children is evolving with time. We are reporting a young girl who presented to us with acute febrile illness followed by acute onset severe flaccid paralysis requiring prolonged intensive care unit stay and ventilator support. She was evaluated extensively and found to be positive for COVID serology, and neuroimaging revealed features of longitudinally extensive transverse myelitis (LETM) with enhancing cauda equina nerve roots, suggesting Guillain-Barré Syndrome (GBS). Read More

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Intradural Disc Herniation in the Setting of Congenital Lumbar Spinal Stenosis.

Neurochirurgie 2021 Apr 23. Epub 2021 Apr 23.

University of California, Davis, School of Medicine, Department of Neurological Surgery, Sacramento, California USA.

Introduction: Accounting for an estimated 1.10-1.76% of all lumbar herniations, lumbar intradural disc herniation (IDH) occurs primarily in males during the fourth to fifth decades of life. Read More

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Full Endoscopic Lumbar Discectomy Versus Laminectomy for Cauda Equina Syndrome.

Int J Spine Surg 2021 Feb 12;15(1):105-112. Epub 2021 Feb 12.

Spine Division of Orthopaedic Department, PLA General Hospital, Beijing, China.

Background: Typically, open surgery is advocated for cauda equina patients. The goal of this study was to compare the clinical efficacy of full endoscopic lumbar discectomy and laminectomy in the treatment of cauda equina syndrome (CES) caused by lumbar disc herniation.

Methods: Forty-three patients with CES either underwent endoscopic or laminectomy surgery from May 2015 to April 2016, and data were collected and retrospectively analyzed. Read More

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February 2021

Soft Tissue Extramedullary Plasmacytoma Leading to Cauda Equina Syndrome: Case Presentation and Clinical Considerations.

Cureus 2021 Mar 23;13(3):e14056. Epub 2021 Mar 23.

Family Medicine, Bariatric Medicine-Non Surgical Weight Loss Care, Ascension Sacred Heart, Pensacola, USA.

Cauda equina syndrome (CES) is a rare neurological emergency that requires prompt diagnosis and immediate surgical intervention for the best potential patient outcome. CES results from the compression of spinal roots along the lower spine usually at the level of L2 or below. It typically presents with severe low back pain, pain radiating to lower extremities, motor weakness, sensory loss, saddle anesthesia, bladder and bowel dysfunction. Read More

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The Malone antegrade continence enema adapting a transanal irrigation system in patients with neurogenic bowel dysfunction.

Spinal Cord Ser Cases 2021 Apr 23;7(1):34. Epub 2021 Apr 23.

General Surgery and Trauma Team, ASST Grande Ospedale Metropolitano Niguarda, Università degli Studi di Milano, Milano, Italy.

Introduction: Patients with severe neurogenic bowel dysfunction (NBD) may undergo the Malone antegrade continence enema (MACE) surgery to perform antegrade bowel irrigation (ABI). The standard approach may be prevented by a previous appendectomy or complicated by appendicular stenoses and/or stomal leakages. We present the experience by our tertiary referral center for NBD, adopting a modified surgical technique, based on a neoappendix with the terminal ileum to preserve the natural anti-reflux mechanism of the ileocecal valve and avoid stool leakage, and a largely available transanal irrigation (TAI) system to catheterize the neoappendix and perform ABI. Read More

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Cauda equina syndrome due to herpes simplex virus type 2-associated meningoradiculitis (Elsberg syndrome) after posterior lumbar spinal fusion surgery: Case report and review of literature.

Clin Neurol Neurosurg 2021 Apr 1;205:106624. Epub 2021 Apr 1.

Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Elsberg syndrome is a rare but well-defined clinical condition, including acute or subacute lumbosacral meningoradiculitis, which might be accompanied by myelitis and is often associated with herpes simplex virus type 2 (HSV-2) infection. We report the case of an immunocompetent 24-year-old man who presented with perineal pain, saddle hypoesthesia, and urinary retention associated with Elsberg syndrome due to HSV-2 infection 20-day after the posterior lumbar spinal fusion surgery. Lumbar magnetic resonance imaging (MRI) with gadolinium enhancement showed mildly enhanced and swollen right sacral nerve roots. Read More

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Delay in Diagnosis of Cauda Equina Syndrome with a Malfunctioning Spinal Cord Stimulator.

Pain Med 2021 Apr;22(4):1002-1004

Department of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.

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Sporadic cauda equina hemangioblastoma: surgical management in a pregnant woman.

Br J Neurosurg 2021 Apr 20:1-5. Epub 2021 Apr 20.

Department of Neurosurgery, Borgo Trento Hospital, AOUI Verona, Verona, Italy.

Hemangioblastoma is a rare benign vascular tumour of the central nervous system that occurs either sporadically or in association with Von Hippel-Lindau syndrome. Hemangioblastoma can be found throughout the central nervous system and usually present with late manifestations due to their slow growth rate. Cauda equina hemangioblastomas are extremely rare, and in the literature, no cases are reported on the surgical management of pregnant patients with this condition. Read More

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Predictors of Medical Malpractice Outcomes After Spine Surgery: A Comprehensive Analysis From 2010 to 2019.

Clin Spine Surg 2021 Apr 19. Epub 2021 Apr 19.

Department of Orthopedic Surgery David Geffen School of Medicine, University of California, Los Angeles, CA.

Study Design: Retrospective review of spine surgery malpractice cases.

Objectives: The aim was to compare medical malpractice outcomes among different types of spine surgery and identify predictors of litigation outcomes.

Summary Of Background Data: Spine surgery is highly litigious in the United States with data suggesting favorable outcomes for defendant surgeons. Read More

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Transverse myelitis masquerading as cauda equina syndrome, stroke and cervical myelopathy.

Biomedicine (Taipei) 2020 28;10(1):45-50. Epub 2020 Mar 28.

Division of Spine, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Transverse myelitis is an uncommon but well-defined neurological syndrome. However, a high index of suspicion is needed to diagnose this condition, especially when it occurs in concomitance with preexisting spinal canal stenosis. We report our patient, a 48 year old male, who initially presented to our spine clinic with acute onset unilateral lower limb weakness associated with urinary retention, which was suspected to be cauda equina syndrome due to a prolapsed intervertebral disc. Read More

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Traumatic posterior fracture-dislocation of the fifth lumbar vertebra: report of two cases with review of literature.

Spinal Cord Ser Cases 2021 Apr 13;7(1):30. Epub 2021 Apr 13.

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India.

Introduction: Posterior fracture-dislocation of fifth lumbar vertebra (L5) is a rare injury pattern. Existing Aihara classification system lacks its mention.

Case Presentation: We report two cases of posterior fracture-dislocation of L5 with comminuted fracture of body that presented with cauda equina syndrome. Read More

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Cauda equina syndrome following combined spinal-epidural anesthesia with levobupivacaine for cesarean section.

Rev Esp Anestesiol Reanim 2021 Apr 1. Epub 2021 Apr 1.

Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal.

Cauda equina syndrome (CES) is a rare but possible complication of neuroaxial anesthesia. Damage to the nerve roots may occur due to compression, inflammation, stretching, direct trauma, spinal ischemia or neurotoxicity, usually with lidocaine or bupivacaine. We describe a case of a 33-year-old patient that underwent an uneventful cesarean section with a combined spinal-epidural technique anesthesia, with levobupivacaine. Read More

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Primary epidural lumbar Ewing sarcoma presenting as cauda equina syndrome in an adult patient who underwent surgical decompression: A case report.

Neurocirugia (Astur) 2021 Mar 25. Epub 2021 Mar 25.

Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. Electronic address:

Ewing sarcoma (ES) is a rare primary neoplasm in the lumbar adult spine and may mimic a benign tumor. In this case, after a patient's three-month history of lower back pain and rapidly progressing leg numbness and weakness, magnetic resonance imaging (MRI) showed a mass in the third lumbar vertebra. At a two-month follow-up, imaging showed a fracture, compression and lesion enlargement. Read More

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Neurolymphomatosis of the median nerve, optic nerve, L4 spinal nerve root and cauda equina in patients with B-cell malignancies: a case series.

J Med Case Rep 2021 Mar 26;15(1):133. Epub 2021 Mar 26.

Department of Hematology/Oncology, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.

Background: Neurolymphomatosis is rare. Neoplastic lymphocytes are seen to invade nerves (cranial or peripheral), nerve roots or other related structures in patients with hematological malignancy. It is a separate entity from central nervous system lymphoma. Read More

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Chronic Undiagnosed Brucellosis Presenting as Sciatica.

Cureus 2021 Feb 3;13(2):e13114. Epub 2021 Feb 3.

3rd Orthopaedic Department, University of Athens, KAT Hospital, Athens, GRC.

Brucellosis is a common zoonotic disease in southern Europe. Although having the potential to harm several anatomic regions and systems, musculoskeletal manifestations are rare, usually involving the spine and the sacroiliac joints. In the literature, the reports of hip manifestations are sporadic. Read More

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February 2021

[Horse tail syndrome revealing spinal-medullary hydatid disease].

Pan Afr Med J 2020 28;36:225. Epub 2020 Jul 28.

Service de Radiologie, Centre Hospitalo-universitaire Hassan II, Fès, Maroc.

Hydatid disease is an anthropozoonosis caused by the larval stages of the genus Echinoccus granulosus in humans. It mainly occurs in subjects living in the rural and livestock areas in the Mediterranean basin, South America, Near and Middle East. Spinal hydatid disease is rare but it is the most severe form of bone hydatid disease. Read More

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Suspected cauda equina syndrome: no reduction in investigation, referral and treatment during the COVID-19 pandemic.

Ann R Coll Surg Engl 2021 Mar 8. Epub 2021 Mar 8.

University of Edinburgh, UK.

Introduction: Compression of the cauda equina can lead to bladder, bowel and sexual dysfunction with lower limb pain, numbness and weakness. Urgent surgical decompression aims to prevent progressive neurological deficit. Symptoms of cauda equina syndrome (CES), such as back pain, sciatica and bladder dysfunction are common in the population, but the majority of those investigated do not have radiological cauda equina compression. Read More

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Out of hours magnetic resonance imaging for suspected cauda equina syndrome: lessons from a comparative study across two centres.

Ann R Coll Surg Engl 2021 Mar;103(3):218-222

Cambridge University Hospitals NHS Foundation Trust, UK.

Background: Cauda equina syndrome, a rare but disabling spinal surgical emergency, requires prompt investigation, ideally using magnetic resonance imaging as patients may require decompressive surgery. Out of hours access to magnetic resonance imaging is only routinely available in major trauma centres and neurosurgical units. Patients in regional hospitals with suspected cauda equina syndrome may require transfer for diagnostic imaging. Read More

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Cauda Equina Syndrome as the Initial Presentation of Concurrent Plasmacytoma and Multiple Myeloma.

Cureus 2021 Jan 24;13(1):e12888. Epub 2021 Jan 24.

Internal Medicine, Brandon Regional Hospital, Tampa, USA.

Multiple myeloma is a hematological malignancy characterized by an abnormal proliferation of monoclonal plasma cells. In some occurrences, plasma cell proliferation results in a solitary lesion (solitary bone plasmacytoma or extramedullary plasmacytoma with minimal bone marrow involvement). Approximately 50% of patients with solitary plasmacytoma develop multiple myeloma within 10 years after the initial diagnosis. Read More

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January 2021

Clinical Profile and Outcome of Guillain-Barre Syndrome in Pediatric Patients Admitted to a Tertiary Care Centre: A Retrospective Study.

Neurol India 2021 Jan-Feb;69(1):81-84

Department of Pediatrics, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.

Aims And Objectives: To study clinical profile and outcome in Pediatric Guillain Barre Syndrome (GBS).

Materials And Methods: Retrospective study of 30 patients (age 1 month to 12 years) admitted with GBS enrolled over a period of 2 years (August 2016-July 2018) from Department of Pediatrics of tertiary centre.

Results: Mean age was 5. Read More

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The "Texas Longhorn" Syndrome: A Case of Posterior Interosseous Nerve Palsy With Noteworthy Observations.

Cureus 2021 Jan 18;13(1):e12760. Epub 2021 Jan 18.

Neurology, Flowers Medical Group, Dothan, USA.

The posterior interosseous nerve (PIN) is quite a fascinating nerve. It wraps around the radial neck akin to the fibular nerve wrapping around the fibular neck. It can be compressed by the arcade of Frohse in a fashion similar to median nerve entrapment by the carpal tunnel. Read More

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January 2021

Herniation of the cauda equina into the facet joint through a pseudomeningocele: A case report and literature review.

Surg Neurol Int 2021 20;12:30. Epub 2021 Jan 20.

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Hondo, Akita, Japan.

Background: Incidental durotomy is a well-known complication of spinal surgery. It can lead to persistent cerebrospinal fluid leakage resulting in significant secondary complications. Here, we present a case in which the cauda equina herniated into a pseudomeningocele that penetrated a facet joint, leading to lower extremity radiculopathy warranting surgical correction. Read More

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January 2021

Postoperative spinal epidural hematoma in a biportal endoscopic spine surgery.

Medicine (Baltimore) 2021 Feb;100(6):e24685

Seoul Sacred Heart General Hospital Orthopedic Surgery Department.

Abstract: Biportal endoscopic spine surgery (BESS) is extending its application to most kind of spine surgeries. Postoperative spinal epidural hematoma (POSEH) is one of the major concerns of this emerging technique. Through this study we aim to investigate the incidence of POSEH in BESS comparing to a conventional spine surgery (CSS). Read More

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February 2021

Civilian Gun Shot Wounds Associated With Spinal Injuries.

Global Spine J 2021 Feb 11:2192568221991802. Epub 2021 Feb 11.

Department of Orthopaedics & Rehabilitation, University of Rochester School of Medicine and Dentistry, Rochester, New York, NY, USA.

Study Design: Retrospective.

Objective: To evaluate functional outcomes and characteristics associated with gunshot wound (GSW) to the spine.

Methods: Patients with GSW to the spine managed at a Level 1 Trauma Center from January 2003 to December 2017 were enrolled. Read More

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February 2021