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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Atypical presentation of cauda equina syndrome secondary to lumbar disc herniation

Evrim Coşkun Celik1, Serdar Kabatas, Metin Karatas

  • 1Physical Medicine and Rehabilitation Department, Faculty of Medicine İstanbul Teaching and Research Center, Başkent University, Istanbul, Turkey. evrimcoskun@yahoo.com

Journal of Back and Musculoskeletal Rehabilitation
|March 9, 2012
PubMed

The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. In the postoperative period, the patient did not have any muscle weakness of leg but had residual saddle type sensory loss and sphincter dysfunction. This article discusses atypical presentation of cauda equina syndrome (CES) secondary to LDH. Early diagnosis and surgery are important factors for a better prognosis in CES.

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