title: L4-5 disk lesion resulting in back pain with bowel, bladder and sexual dysfunction without paraparesis.
abstract: This is a case report of a patient with bowel, bladder and sexual dysfunction associated with low back pain. This patient had an essentially normal neurological examination. There was radiological evidence of a disk lesion, and urodynamic findings consistent with lower motor neuron bladder dysfunction. His symptoms are attributed to a L4-5 disk herniation resulting in a partial cauda equina syndrome. The relevant anatomy is reviewed, and the differential diagnosis is discussed.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Boston University School of Medicine, Massachusetts 02118-2393, USA.
authors.forename: S
authors.initials: S
authors.lastname: Nesathurai
authors.forename: T L
authors.initials: TL
authors.lastname: Jessiman
mesh_terms: D000328:Adult; D002420:Cauda Equina; D005242:Fecal Incontinence / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000175:diagnosis; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology; D010292:Paresthesia / Q000503:physiopathology; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D014549:Urinary Incontinence / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics