•  
  •  
 

Rehabilitation Practice and Science

Translated Title

馬尾症候群和腰椎間盤突出症

Abstract

Hearniation of lumbar disc (HIVD) causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. Cauda equina syndrome (CES) has been described as a complex of low back pain, bilateral or unilateral sciatica, saddle anesthesia and motor weakness in the lower extremities that may progress to paraplegia with bowel and urinary bladder incontinence. The onset of bladder and rectal paralysis with saddle anesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Three C.E.S. cases out of 169 H.I.V.D. cases who had been operated in our hospital were seen over a period of one and a half year. The clinical examination included history, physical examination and special examinations that were myelogram, C-T scanning, Urodynamic study, NCV and EMG study. All three cases had history of chronic relapsing low back pain for four to thirty years. Two out of three had oblivious traumatic injury and the other case did not.The backache and sciatia showed dramatic improvement in all three cases after operation but saddle hypesthesis, motor weakness and areflexic bladder were still present. The bladder control recovered within six months after operation in all three cases even though urinary bladder showed poor compliance in urodynamic study. However, recovery of sensory, motor and sexual functions was incomplete one year after operation.

Language

Traditional Chinese

First Page

88

Last Page

93

Download

Share

COinS