A Case Study of Cauda Equina Syndrome #MMPMIDC5571786
N Ho DPE
Perm J 2003[Fal]; 7 (4): 13-7 PMIDC5571786show ga
Primary care and emergency care physicians frequently encounter patients with low back strain and sciatica and must be able to recognize the perilous signs of cauda equina syndrome (CES), a condition usually caused by massive disk herniation. Patients with CES may have peripheral neurologic deficits as well as bowel and bladder dysfunction. Emergent magnetic resonance imaging is the study of choice to confirm the diagnosis. Surgical decompression is the only effective treatment for CES. The prognosis depends on initial signs and symptoms, progression of neurologic deterioration, and timeliness of surgical decompression. Recovery may occur immediately after surgery or months or years postoperatively.