[Cauda equina syndrome due to giant disc herniation].
In cases of acute or progressive development in a few hours of bilateral sciatica, severe foot and occasional quadriceps weakness and/or retention or incontinence of urine with perineal hypalgesia or anesthesia, acute compression of the cauda equina should be suspected, which is usually due to a lumbar disc herniation. Cauda equina syndrome requires emergency spinal surgery. To identify and confirm this syndrome by MR, Ismanoatory. Early surgical decompression must be achieved. Decompression within 24-48 hours significantly improves the neurological and urological outcome. We present the case of a patient who had previously been treated for low back pain who developed a cauda equina syndrome a few days later.
Barriga
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Departamento de Cirugía Ortopédica y Traumatología, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra.
Villas
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D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D017586:Diskectomy; D006801:Humans; D007267:Injections; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011128:Polyradiculopathy / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications
D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local