title: Missed Cauda Equina Syndrome after Burst Fracture of the Lumbar Spine.
abstract: Cauda equina syndrome (CES) is often defined as a complex of symptoms and signs consisting of low back pain, bilateral sciatica, lower extremity weakness, saddle anesthesia, and bowel and bladder dysfunction. CES is considered to be neurosurgical emergency. Delayed or missed diagnosis of CES can result in serious morbidity and neurological sequelae. However, the diagnosis of CES is often difficult when one or more of these symptoms are absent or when these symptoms develop asymmetrically or incompletely. We report a case of urinary retention and sphincter dysfunction without sciatica or motor weakness following an L3 burst fracture in a 52-year-old male and discuss the atypical presentation of CES and treatment of traumatic CES.
authors.affiliation: Department of Neurosurgery, Dongguk University College of Medicine, Seoul, Korea.
authors.forename: Jin Hyuk
authors.initials: JH
authors.lastname: Bang
authors.affiliation: Department of Neurosurgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
authors.forename: Keun-Tae
authors.initials: KT
authors.lastname: Cho
keywords: Burst fracture; Cauda equina syndrome; Lumbar vertebrae; Spine