A CASE REPORT ON LONG TERM COMPLICATIONS OF CAUDA EQUINA SYNDROME

Author:

Padinjarethil George Shone1,Sara Shaji Shiby2,Varghese Mohan3

Affiliation:

1. Pharm D Intern, Nazareth College of Pharmacy, Othera, Thiruvalla, Kerala

2. Pharm D Intern, Nazareth College of Pharmacy, Othera, Thiruvalla, Kerala.

3. Consultant Physician and Associate Professor, Believers Church Medical College Hospital, Thiruvalla, Kerala, India

Abstract

Cauda Equina Syndrome (CES) is a rare emergency condition where the ends of the spinal cord, specically, the lumbar and sacral spinal nerves get congested mostly due to disc herniation or trauma. The marked complication of CES includes bowel incontinence, bladder incontinence leading to UTI, high grade sores in the gluteal region and saddle anesthesia. This is one among the rarest neurosurgical emergencies. The only treatment for Cauda equina syndrome is a surgical procedure, that is, decongestion of the lumbar spinal nerves called Lumbar laminectomy. In this case report, we shall discuss and evaluate on the long-term complications of cauda equina syndrome which includes various sectors of life. This study is done to report on the long-term complication of cauda equina syndrome in relation to the relative Quality of Life (QoL) of patients

Publisher

World Wide Journals

Subject

General Medicine,Psychiatry and Mental health,Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism,Internal Medicine,Family Practice,Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Pulmonary and Respiratory Medicine,General Medicine,General Medicine,Care Planning,Public Health, Environmental and Occupational Health,Animal Science and Zoology,Nature and Landscape Conservation,Animal Science and Zoology,Ecology, Evolution, Behavior and Systematics

Reference14 articles.

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2. Hazelwood, J. E., Hoeritzauer, I., Pronin, S., & Demetriades, A. K. (2019). An assessment of patient-reported long-term outcomes following surgery for cauda equina syndrome. Acta Neurochirurgica, 161(9), 1887-1894.

3. Gitelman, A., Hishmeh, S., Morelli, B. N., Joseph Jr, S. A., Casden, A., Kuflik, P., ... & Stephen, M. (2008). Cauda equina syndrome: a comprehensive review. Am J Orthop (Belle Mead NJ), 37(11), 556-62.

4. Hur, J. W., Park, D. H., Lee, J. B., Cho, T. H., & Park, J. Y. (2019). Guidelines for cauda equina syndrome management. Journal of Neurointensive Care, 2(1), 14-16.

5. Lavy, C., James, A., Wilson-MacDonald, J., & Fairbank, J. (2009). Cauda equina syndrome. Bmj, 338.

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