title: Atypical presentation of cauda equina syndrome secondary to lumbar disc herniation.
abstract: The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. In the postoperative period, the patient did not have any muscle weakness of leg but had residual saddle type sensory loss and sphincter dysfunction. This article discusses atypical presentation of cauda equina syndrome (CES) secondary to LDH. Early diagnosis and surgery are important factors for a better prognosis in CES.
authors.affiliation: Physical Medicine and Rehabilitation Department, Faculty of Medicine İstanbul Teaching and Research Center, Başkent University, Istanbul, Turkey. evrimcoskun@yahoo.com
authors.forename: Evrim Coşkun
authors.initials: EC
authors.lastname: Celik
authors.forename: Serdar
authors.initials: S
authors.lastname: Kabatas
authors.forename: Metin
authors.initials: M
authors.lastname: Karatas
mesh_terms: D000328:Adult; D005242:Fecal Incontinence / Q000453:epidemiology; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000453:epidemiology; D019637:Orthopedic Procedures; D011128:Polyradiculopathy / Q000175:diagnosis* / Q000209:etiology*; D011184:Postoperative Period; D015995:Prevalence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome