Volume 4, Issue 1 (Winter 2018)                   Iran J Neurosurg 2018, 4(1): 19-24 | Back to browse issues page

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Rezvani M, Mohamadhoseini E, Rastgoo A, Kamangar M, Noorian M. Prognosis of Cauda Equina Syndrome Caused by Herniated Disk After Lumbar Disk Operation. Iran J Neurosurg 2018; 4 (1) :19-24
URL: http://irjns.org/article-1-104-en.html
Prognosis of Cauda Equina Syndrome Caused by Herniated Disk After Lumbar Disk Operation
Majid Rezvani1 , Ehsan Mohamadhoseini * 2, Amin Rastgoo1 , Mohammad Kamangar1 , Mohammad-Amin Noorian1
1- Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
2- Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran. , ehsan_m_h76@yahoo.com
Abstract:   (5296 Views)
Background and Aim: Although operation is the most appropriate treatment for Cauda Equina Syndrome, the effectiveness of operation on clinical symptoms is still under discussion. This study aimed to determine the prognosis of Cauda Equina Syndrome in patients with lumbar disk surgery in Al-Zahra Hospital of Isfahan City, Iran, from 2013 to 2015.
Methods and Materials/ Patients: In This prospective study, patients diagnosed with Cauda Equina Syndrome who underwent operation in Al-Zahra Hospital of Isfahan from 2013 to 2015 were followed up for two years and the effect of the surgery on the improvement of their clinical symptoms was investigated.
Results: In this study, 33 patients with Cauda Equina Syndrome were evaluated. About 24-month follow-up of patients showed muscle weakness improvement in 26(78.8%) of them. Of all 19 patients with urinary dysfunction, 18(94.7%) recovered. Six (33.3%) cases improved the day after surgery, 6(33.3%) cases in one month, 4(22.2%) cases in six months, and 2(11.1%) cases within 24 months after the surgery. All 4(100%) patients with bowl disorder also recovered during the study. One (25%) of them improved the day after operation, 1(25%) one month after the operation and 2(50%) within 24 months following the operation.
Conclusion: According to the results of this study, operation of the lumbar disks leads to improvement of Cauda Equina Syndrome, including recovery of sphincter disorders and muscle weakness, but considering the limitations of our investigation (including a small sample size), further studies are recommended in this area.
Keywords: Cauda Equina Syndrome, Lumbar vertebrae, Hernia, Prognosis
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Type of Study: Research | Subject: Basic Neurosurgery
References
1. Lavy C, James A, Wilson-MacDonald J, Fairbank J. Cauda Equina Syndrome. Obstetric Anesthesia Digest. 2010; 30(1):16-7. [DOI:10.1097/01.aoa.0000366996.87147.18] [DOI:10.1097/01.aoa.0000366996.87147.18]
2. Larner AJ. A dictionary of neurological signs. Berlin: Springer; 2010.
3. Krämer J, Schleberger R, Hedtmann A. Intervertebral disk diseases: causes, diagnosis, treatment and prophylaxis. Stuttgart: Thieme; 1990.
4. Gardner A, Gardner E, Morley T. Cauda Equina Syndrome: a review of the current clinical and medico-legal position. European Spine Journal. 2011; 20(5):690-7. [DOI:10.1007/s00586-010-1668-3] [PMID] [PMCID] [DOI:10.1007/s00586-010-1668-3]
5. Burke GL. Backache from occiput to coccyx. Chicago: MacDonald; 2014.
6. Thiam AB, Thioub M, Agbo-Panzo MG, Sy CE, Faye M, Badiane SB. Intradural lumbar disc herniation: Report of two cases and review of the literature. Iranian Journal of Neurosurgery. 2017; 2(4):18-21. [DOI:10.29252/irjns.2.4.18] [DOI:10.29252/irjns.2.4.18]
7. Walid MS, Ajjan M, Johnston KW, Robinson Jr JS. Cauda Equina Syndrome—think of cancer. The Permanente Journal. 2008; 12(2):48-51. [DOI:10.7812/TPP/07-054] [PMID] [PMCID] [DOI:10.7812/TPP/07-054]
8. Eck JC. Cauda Equina Syndrome Causes [Internet]. 2017 [Updated 2017 November 21]. Available from: https://www.emedicinehealth.com/cauda_equina_syndrome/article_em.htm#what_is_cauda_equina_syndrome_definition)
9. Radcliff KE, Kepler CK, Delasotta LA, Rihn JA, Harrop JS, Hilibrand AS, et al. Current management review of thoracolumbar cord syndromes. The Spine Journal. 2011; 11(9):884-92. [DOI:10.1016/j.spinee.2011.07.022] [PMID] [DOI:10.1016/j.spinee.2011.07.022]
10. Harrop JS, Hunt Jr GE, Vaccaro AR. Conus medullaris and Cauda Equina Syndrome as a result of traumatic injuries: management principles. Neurosurgical Focus. 2004; 16(6):1-23. [DOI:10.3171/foc.2004.16.6.4] [DOI:10.3171/foc.2004.16.6.4]
11. Schoenfeld AJ, Bader JO. Cauda Equina Syndrome: an analysis of incidence rates and risk factors among a closed North American military population. Clinical neurology and neurosurgery. 2012; 114(7):947-50. [DOI:10.1016/j.clineuro.2012.02.012] [PMID] [DOI:10.1016/j.clineuro.2012.02.012]
12. Eck JC. Cauda Equina Syndrome Prevention [Internet]. 2011 [Cited 2011 October 9]. Available from: http://www.orthoanswer.org/spine-neck/cauda-equina/prevention.html
13. Ahn UM, Ahn NU, Buchowski JM, Garrett ES, Sieber AN, Kostuik JP. Cauda Equina Syndrome secondary to lumbar disc herniation: A meta-analysis of surgical outcomes. Spine. 2000; 25(12):1515-22. [DOI:10.1097/00007632-200006150-00010] [PMID] [DOI:10.1097/00007632-200006150-00010]
14. Shapiro S. Medical realities of Cauda Equina Syndrome secondary to lumbar disc herniation. Spine. 2000; 25(3):348-52. [DOI:10.1097/00007632-200002010-00015] [PMID] [DOI:10.1097/00007632-200002010-00015]
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