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Lumbar canal stenosis presenting with bladder and bowel symptoms
M S Johri1, B K Pansey, J Jamdar
1Department of Medicine, Government Medical College, Jabalpur.
Summary
Lumbar canal stenosis can cause bladder and bowel dysfunction, along with saddle anesthesia. Surgical decompression provided symptom relief for a 50-year-old male patient.
Area of Science:
- Neurology
- Neurosurgery
- Urology
Background:
- Lumbar canal stenosis (LCS) is a common condition in older adults.
- It can compress neural structures, leading to various neurological deficits.
- Symptoms may include neurogenic claudication, back pain, and sensory disturbances.
Observation:
- A 50-year-old male presented with urinary hesitancy, constipation, and saddle area numbness.
- He had mild, transient low back pain but no claudication.
- Myelography confirmed lumbar canal stenosis.
Findings:
- The patient underwent surgical decompression for lumbar canal stenosis.
- Post-operatively, his symptoms of hesitancy, constipation, and numbness gradually improved.
- Symptomatic recovery occurred over several months following the intervention.
Implications:
- Surgical decompression is an effective treatment for lumbar canal stenosis presenting with lower urinary tract symptoms and perineal sensory changes.
- Early diagnosis and intervention can lead to significant functional recovery.
- This case highlights the diverse clinical manifestations of lumbar canal stenosis beyond typical claudication.