Anatomical and Pathophysiological Features of Cauda Equina.
10.4184/jkss.2013.20.4.210
- Author:
Do Yeon KIM
1
;
Kwang Bok LEE
Author Information
1. Department of Orthopedic Surgery, Chonbuk National Univeristy School of Medicine, Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Korea. osdr2815@naver.com
- Publication Type:Review
- Keywords:
Cauda equina;
Anatomy;
Pathophysiology
- MeSH:
Arterial Pressure;
Cauda Equina*;
Edema;
Peripheral Nerves;
Pia Mater;
Polyradiculopathy
- From:Journal of Korean Society of Spine Surgery
2013;20(4):210-214
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Review of literature on anatomical and pathophysiological features of cauda equina. OBJECTIVES: To look into the anatomical and pathophysiological features of cauda equina and support their basic knowledge of treating cauda equina syndrome. SUMMARY OF LITERATURE REVIEW: Cauda equina has different anatomical and pathophysiological features to peripheral nerve. MATERIALS AND METHODS: Review of literature. RESULTS: When compressing to cauda equina, the pathophysiologic mechanism develop as follows; increasing the vascular permiablity of nerve root, intraneural edema, and subsequent blood and nutritional impairment. Nerve root injury develops through this pathophysiologic mechanism. CONCLUSIONS: Cauda equina has an extensive ateriovenous anastomosis and guaze-like pia mater, which supply blood and neutrition to it. These anatomical features prevent it from complete cauda equina syndrome when compressing to it under arterial blood pressure.
