Outcome of Delayed Decompression Surgery for Cauda Equina Syndrome secondary to Lumbar Disc Herniation: A Case Report
- Author:
Lim SM
- Collective Name: Johari J , Yusof MI
- Publication Type:Case Reports
- Keywords:
cauda equina syndrome, herniated lumbar disc, delayed decompression
- From:
The International Medical Journal Malaysia
2019;18(2):113-116
- CountryMalaysia
- Language:English
-
Abstract:
Cauda equina syndrome (CES) is a constellation of symptoms which consist of low back pain, sciatica, saddlearea paraesthesia, urinary or faecal incontinence, with or without motor weakness, and sensory deficit.
Surgical decompression is indicated as soon as possible, as decompression within 48 hours from onset allows
maximum improvement of symptoms. Recovery usually occurs months or years postoperatively. We report
a case of a patient with cauda equina syndrome secondary to massive lumbar disc herniation who had
undergone urgent decompression one week after onset of urinary and bowel dysfunction. The clinical
outcome post surgery was also discussed.
- Full text:180215.pdf
