Missed Cauda Equina Syndrome after Burst Fracture of the Lumbar Spine.
10.13004/kjnt.2015.11.2.175
- Author:
Jin Hyuk BANG
1
;
Keun Tae CHO
Author Information
1. Department of Neurosurgery, Dongguk University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cauda equina syndrome;
Burst fracture;
Spine;
Lumbar vertebrae
- MeSH:
Anesthesia;
Cauda Equina*;
Diagnosis;
Emergencies;
Humans;
Low Back Pain;
Lower Extremity;
Lumbar Vertebrae;
Male;
Middle Aged;
Polyradiculopathy*;
Sciatica;
Spine*;
Urinary Bladder;
Urinary Retention
- From:Korean Journal of Neurotrauma
2015;11(2):175-179
- CountryRepublic of Korea
- Language:English
-
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.
