Korean J Perinatol.
2005 Dec;16(4):341-346.
Cauda Equina Syndrome by Disc Prolapse after Caesarian Section Delivery
- Affiliations
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- 1Department of Obstetrics and Gynecology, Chungbuk National University, Graduate School, Cheongju, Korea. hongobgy@chungbuk.ac.kr
- 2Department of Orthopedic Surgery, Chungbuk National University, Graduate School, Cheongju, Korea.
Abstract
- Cauda equina syndrome develops as rapidly progressive neurologic deficit of lower extremities and urogenital system often resulting in serious outcome such as complete irreversible paraparesis, therefore prompt diagnosis and decompression is mandatory. However, if it occurs after childbirth, it may be overlooked being regarded as symptoms related to pregnancy and delivery. We experienced a cauda equina syndrome by prolased disc in a 32-year-old woman just after Caesarian section who was managed with prompt decompressive surgery and achieved favorable result. Because of the importance of early detect and prompt decompression for cauda equina syndrome and possible occurrence at perinatal period, we report this case reviewing the literature especially concerning about changes of spine and disc during pregnancy and after delivery.
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