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PubMedDate not supplied

Epidural abscess causing cauda equina syndrome.

BACKGROUND: Spinal epidural abscesses are uncommon but are well documented in the literature as a serious causes of mortality and long-term neurological morbidity. AIM: We describe a case of a 57-year-old female who presented to Accident and Emergency with an acute exacerbation of long standing mild lower back pain with symptoms of cauda equina syndrome and a systemic infective process. CONCLUSION: The diagnosis of this condition requires a high index of suspicion. This report demonstrates that with adequate decompression and appropriate antimicrobial treatment a good outcome is achievable.

Acute Disease↗
PubMed2006

Cauda equina syndrome as a rare manifestation of leukemia relapse during postallograft period.

Here we report a 41-year-old woman with the diagnosis of acute myeloid leukemia. While being followed on remission after allogeneic peripheral blood stem cell transplantation, she developed systemic and central nervous system (CNS) relapse. CNS involvement presented first with meningeal irritation signs and then with cauda equina syndrome (CES). We define an interesting presentation of CES as abdominal pain and discuss the rare coexistence of the syndrome and leukemia under the light of the pertinent literature.

Abdominal Pain↗
PubMed2003

Cauda equina syndrome due to an intra-dural sacral cyst in type-1 Gaucher disease.

The authors report a rare case of type-1 Gaucher disease with neurological and haematological involvement. The first onset was epilepsy, the diagnosis of GD1 was then confirmed and the patient experienced parkinsonism. The biological analysis revealed monoclonal gammapathy and factor-II mutation. The patient's condition worsened due to cauda equina syndrome. Magnetic resonance imaging and surgery revealed an intra-thecal sacral cyst which, to our knowledge, has not been reported previously; therefore, when confronted with the fractures commonly observed in GD1, other unusual causes of spinal cord and root compression should not be overlooked.

Aged↗
PubMed2001

The earliest case of cauda equina syndrome caused by manipulation of the lumbar spine under a general anaesthetic.

Jonathan Hutchinson described a 42-year-old man with a previous history of alternating sciatica who had crushing of a pile under ether anaesthesia in 1889. When the patient awoke from the anaesthetic he had paralysis of his bladder and bowels. Jonathan Hutchinson could not establish a diagnosis. Evidence is presented to suggest that this was the first case of a prolapsed disc causing a cauda equina lesion as a result of anaesthesia and manipulation.

Anesthesia, General↗