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KMID : 1148420190020010014
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Journal of Neurointensive Care
2019 Volume.2 No. 1 p.14 ~ p.16
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Guidelines for Cauda Equina Syndrome Management
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Hur Jun-Seok
Park Dong-Hyuk
Lee Jang-Bo
Cho Tai-Hyoung
Park Jung-Yul
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Abstract
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The cauda equina syndrome (CES) is an urgent situation which needs immediate surgery. However, proper diagnosis is often confused. There are some clinical check points; bilateral radiculopathy, impaired perineal sensation, impaired anal tone, and urinary retention. In addition, magnetic resonance image should match the clinical symptom. With these clinical and radiographic evidences, we can classify CES as CES suspected or suspicious (CESS), incomplete CES (CESI), and CES with neurogenic retention of urine (CESR). All these situations may need surgery, however, the timing of surgery and neurologic outcomes are various. Herein we prescribe the guideline for proper treatment strategy of CES.
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KEYWORD
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Cauda equine syndrome, surgery, radiculopathy, urinary retention
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