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Cauda Equina Syndrome Treatment - Crossref

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Last Updated: 15 January 2023

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Cauda equina syndrome secondary to portal vein thrombosis: case report of favorable outcome with conservative treatment

Epidural varicosis is a rare but well-known cause of cauda equina syndrome. Although inferior vena cava obstruction is the most common finding in those situations, portal vein hypertension can lead to epidural venous plexus engorgement by means of lumbar portocaval shunt activation. Therefore, a complete diagnostic scan was performed and revealed deep vein thrombosis, pulmonary embolism, and portal vein thrombosis. To the authors' knowledge, this is the first report of CES secondary to epidural varicosis in the case of acute portal vein thrombosis and extrahepatic portal vein obstruction.

Source link: https://doi.org/10.3171/2020.6.spine20625


Cauda equina syndrome secondary to portal vein thrombosis: case report of favorable outcome with conservative treatment

Epidural varicosis is a rare yet well-known cause of cauda equina syndrome. Although inferior vena cava obstruction is the most common finding in these situations, portal vein hypertension can lead to epidural plexus engorgement by means of lumbar portocaval shunt activation. Consequently, a complete diagnostic investigation was performed and revealed deep vein thrombosis, pulmonary embolism, and portal vein thrombosis. This is the first report of CES secondary to epidural varicosis in the context of acute portal vein thrombosis and extrahepatic portal vein obstruction, according to the authors.

Source link: https://doi.org/10.3171/2020.7.spine20625


Clinical Outcomes of a Novel Capsule Lumbar Interbody Fusion (CLIF) in Delayed Surgical Treatment of Cauda Equina Syndrome Retention (CESR) due to Lumbar Disc Herniation

This present research sought to investigate the medical consequences of a novel capsule lumbar interbody fusion on delayed surgical treatment of cauda equina syndrome persistence due to lumbar disc herniation. A total of 25 patients admitted to our department with postponed surgical care of CESR due to lumbar disc herniation were prospectively enrolled between February 2017 and March 2019. Before and after intraoperative decompression, the nerve tension was measured with a nerve tension tester by a nerve tension surveying device. However, patients in the CLIF group showed faster recovery of ODI and ICI-Q-SF than those in the PLIF group 6 months after surgery and final follow-up. CLIF can lessensure the nerve pain and promote nerve function restitution, which is safe and effective for CESR's postponed surgical intervention.

Source link: https://doi.org/10.21203/rs.3.rs-2051552/v1

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions