Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
free free
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Cauda equina syndrome: a review of the current clinical and medico-legal position Gardner A; Gardner E; Morley TEur Spine J 2011[May]; 20 (5): 690-7Cauda equina syndrome (CES) is a rare condition with a disproportionately high medico-legal profile. It occurs most frequently following a large central lumbar disc herniation, prolapse or sequestration. Review of the literature indicates that around 50-70% of patients have urinary retention (CES-R) on presentation with 30-50% having an incomplete syndrome (CES-I). The latter group, especially if the history is less than a few days, usually requires emergency MRI to confirm the diagnosis followed by prompt decompression by a suitably experienced surgeon. Every effort should be made to avoid CES-I with its more favourable prognosis becoming CES-R while under medical supervision either before or after admission to hospital. The degree of urgency of early surgery in CES-R is still not in clear focus but it cannot be doubted that earliest decompression removes the mechanical and perhaps chemical factors which are the causes of progressive neurological damage. A full explanation and consent procedure prior to surgery is essential in order to reduce the likelihood of misunderstanding and litigation in the event of a persistent neurological deficit.|Decompression, Surgical/legislation & jurisprudence/methods/*standards[MESH]|Early Diagnosis[MESH]|Emergency Medical Services/legislation & jurisprudence/methods/*standards[MESH]|Humans[MESH]|Intervertebral Disc Displacement/complications/diagnosis/*surgery[MESH]|Malpractice/legislation & jurisprudence/*trends[MESH]|Neurologic Examination/methods/standards[MESH]|Polyradiculopathy/diagnosis/etiology/*surgery[MESH]|Postoperative Complications/etiology/prevention & control[MESH]|United Kingdom[MESH] |