Volume 4, Issue 1 (Accepted 2018)                   IrJNS 2018, 4(1): 0-0 | Back to browse issues page

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1- resident of neurosurgery resident of neurosurgery, medical school of Isfahan University of Medical Sciences, Isfahan, Iran , ehsan_m_h76@yahoo.com
2- post specialist of neurosurgery assistant professor of neurosurgery, medical school of Isfahan University of Medical Sciences, Isfahan, Iran, department of surgery, Alzahra hospital, Isfahan,Iran
3- resident of neurosurgery resident of neurosurgery, medical school of Isfahan University of Medical Sciences, Isfahan, Iran, department of surgery, Alzahra hospital, Isfahan,Iran
4- MD general physicine +medical school of Isfahan University of Medical Sciences, Isfahan, Iran, department of surgery, Alzahra hospital, Isfahan,Iran
Abstract:   (63 Views)
Background: Although surgery is the most appropriate treatment for cauda equina syndrome (CES) but the effect of the type of surgery on the improvement of clinical symptoms is still under discussion. The aim of this study was to determine the distribution of prognosis frequency in patients with CES in Al-Zahra hospital in Isfahan, Iran, from 1392 to 1394.
Methods: In a prospective study, patients who had been diagnosed with CES and were admitted and underwent surgery in Al-Zahra hospital from the beginning of 1392 until the end of 2014 were followed up for two years and the effect of the surgery on the improvement of clinical symptoms was investigated.
Results: In this study, 33 patients with CES were studied and evaluated. Follow-up of patients until 24 months later showed improvement in muscle weakness in 26 (78.8%) of patients. Of the 19 patients with urinary dysfunction, 18 (94.7%) patients recovered that six of the cases (33.3%) on the day after surgery, 6 (33.3%) one month after surgery, 4 (22.2%) six months after surgery, and 2 (11.1%) within 24 months after surgery were improved. All 4 (100%) patients with stool disorder also recovered during the study that 1 (25%) on the day after operation, 1 (25%) one month after operation and 2 (50%) in 24 months later the operation were improved.
Conclusion: According to the results of this study, the operation of the lumbar discs leads to improvement of Cauda Equina syndrome, including recovery of sphincter disorders and muscle weakness, but according to the limitations of our study, including a small sample size,
Further studies are recommended in this area.
Full Text [PDF 1230 kb]   (46 Downloads)    
Type of Study: Research | Subject: Basic Neurosurgery
* Corresponding Author Address: department of surgery, Alzahra hospital, Isfahan,Iran