Large central disc herniation causing cauda equina syndrome in an adolescent. A case report
Mohamad K Moussa1, Peggy Alkefrawi2, Joseph K Elkhalil3
1The Department of Orthopedic Surgery at the Lebanese University, The Faculty of Medical Sciences, Hadath, Lebanon.
International Journal of Surgery Case Reports
|January 17, 2021
Summary
Cauda equina syndrome (CES) is a rare pediatric emergency. This case highlights acute disc herniation as a cause, emphasizing early diagnosis for better outcomes in children.
Area of Science:
- Neurosurgery
- Pediatric Neurology
Background:
- Cauda equina syndrome (CES) is a critical neurosurgical condition requiring immediate intervention.
- Delayed diagnosis of CES can lead to irreversible neurological deficits and significantly impact patient quality of life.
Observation:
- A 15-year-old patient presented with acute cauda equina syndrome (CES).
- The syndrome was secondary to an acute disc herniation, precipitated by lifting a heavy object.
Findings:
- Surgical decompression via laminectomy and discectomy was performed.
- The patient experienced significant neurological improvement following the intervention.
Implications:
- This case underscores the importance of considering CES in pediatric patients, even with rare etiologies like acute disc herniation.
- Increased clinical suspicion for CES in pediatric populations, particularly after inciting events, can facilitate early diagnosis and improve patient prognoses.
