What is it about?

This article is about cauda equine syndrome in a pregnant due to lumbar disc herniation. A 34-year-old woman presented at 25-week gestation with a 2-day history of low back pain, numbness in her buttocks, urinary and fecal incontinence. An emergency, standard microdiscectomy performed under general anesthesia on prone position. She delivered a healthy infant at term, and her neurological exam was nearly normal except reduced sensation in the sacral area at 6-month follow up.

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Why is it important?

The clinicians should be aware of this condition because a potential misdiagnosis and delay in treatment may be ended with neurological sequelae in patients.

Perspectives

I think this may be a warning article for both physicians and patients. Misdiagnosis and delay in treatment may cause neurological sequelae including urinary and fecal incontinence, sexual dysfunction in these patients.

Professor Tayfun Hakan
University of Health Sciences, İstanbul

Read the Original

This page is a summary of: Lumbar disk herniation presented with cauda equina syndrome in a pregnant woman, Journal of Neurosciences in Rural Practice, January 2012, Medknow,
DOI: 10.4103/0976-3147.98243.
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