Cauda equina syndrome following vaginal delivery
Seung Jun Lee1, So-Young Lee1,2, Jun-Hwan Choi1,2
1Department of Physical Medicine and Rehabilitation, Jeju National University Hospital, Jeju, Korea.
Obstetrics & Gynecology Science
|June 30, 2025
Summary
Postpartum cauda equina syndrome (CES) is rare but serious, presenting with urinary issues and leg pain after childbirth. Prompt diagnosis and surgical treatment of herniated discs are crucial to prevent lasting nerve damage.
Area of Science:
- Neurology
- Obstetrics
- Neurosurgery
Background:
- Cauda equina syndrome (CES) is a rare but severe condition affecting the lower spinal cord.
- Postpartum CES is exceptionally uncommon, often misdiagnosed amidst typical postpartum complaints.
Purpose of the Study:
- To report a rare case of postpartum CES.
- To emphasize the diagnostic and management challenges of this condition.
Main Methods:
- Case report of a woman in her 30s.
- Clinical presentation: urinary retention, bowel incontinence, radiating lower extremity pain.
- Diagnostic imaging: MRI revealing L5/S1 herniated intervertebral disc.
Main Results:
- Successful surgical intervention for the herniated disc.
- Resolution of CES symptoms post-surgery.
Conclusions:
- Postpartum CES requires prompt recognition and differentiation from other postpartum conditions.
- Timely surgical management is essential to avert permanent neurological deficits.
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