Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1396
10
1
gregorian
2018
1
1
4
1
online
1
fulltext
en
Prognosis of Cauda Equina Syndrome Caused by Herniated Disk After Lumbar Disk Operation
Basic Neurosurgery
Research
<div style="text-align: justify;"><strong>Background and Aim:</strong> 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.<br>
<strong>Methods and Materials/ Patients:</strong> 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.<br>
<strong>Results:</strong> 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.<br>
<strong>Conclusion: </strong>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.</div>
Cauda Equina Syndrome, Lumbar vertebrae, Hernia, Prognosis
19
24
http://irjns.org/browse.php?a_code=A-10-203-1&slc_lang=en&sid=1
Majid
Rezvani
rezvani@med.mui.ac.ir
10031947532846002031
10031947532846002031
No
Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Ehsan
Mohamadhoseini
ehsan_m_h76@yahoo.com
10031947532846002032
10031947532846002032
Yes
Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Amin
Rastgoo
nima_r234@yahoo.com
10031947532846002033
10031947532846002033
No
Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad
Kamangar
dr_mkamangar@yahoo.com
10031947532846002034
10031947532846002034
No
Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad-Amin
Noorian
amin.noorian@gmail.com
10031947532846002035
10031947532846002035
No
Department of Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.