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Spinal Cord Lateral Hemisection and Asymmetric Behavioral Assessments in Adult Rats

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Indeterminate cauda equina syndrome: A case report.

Balaji Douraiswami¹, Kumanan Muthuswamy², Dilip Kumar Naidu²

¹Associate Professor, Department of Orthopaedics, SRM Medical College & Research Centre, Chennai 603203, India.

Journal of Clinical Orthopaedics and Trauma

|February 25, 2016

Summary

Cauda equina syndrome (CES) can present atypically, often with unilateral symptoms. Early diagnosis of lumbar disc prolapse causing CES is crucial for preventing neurological deficits.

Keywords:

Cauda equina syndrome Disc prolapse Hemi-cauda equina

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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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Area of Science:

Neurology
Orthopedics
Neurosurgery

Background:

Cauda equina syndrome (CES) presentation varies, differing from classical symptoms, particularly in early compression stages.
Lumbar disc prolapse can cause CES in uncharacteristic ways, necessitating early recognition by orthopedicians.
Prompt diagnosis and intervention are vital to prevent irreversible neurological complications.

Purpose of the Study:

To present a case of lumbar disc prolapse causing CES with an atypical presentation.
To highlight the importance of early diagnosis and intervention in managing CES.
To inform orthopedicians about varied CES clinical manifestations.

Main Methods:

A case report of a 32-year-old male with a 14-day history of left ankle weakness and numbness.
Clinical examination revealed left L3, L4, L5, and S1 nerve root involvement with absent knee jerk.
MRI confirmed L2-L3 posterocentral disc prolapse compressing the cauda equina; patient underwent laminectomy and discectomy.

Main Results:

The patient presented with unilateral leg symptoms and sensory deficits without bowel/bladder dysfunction or saddle anesthesia.
Post-surgery, significant improvement in sensory symptoms was observed.
Complete motor power recovery occurred within 12 weeks.

Conclusions:

CES can manifest with varied symptoms, including unilateral leg involvement or absence of classical signs.
The L2-L3 disc prolapse compressed specific nerve roots, leading to the atypical presentation.
Early diagnosis and surgical intervention prevented the development of classical CES features.