Sindrome della cauda da ernia lombare espulsa

摘要: Cauda equina syndrome (CES) is a rare consequence of lumbar disc prolapse. The reported incidence CES due to an herniated varies from 1 6%. It defined as complex symptoms that include lower back pain, unilateral or more typically bilateral sciatica, saddle sensory disturbances, and variable extremity motor loss, along with bladder, bowel, erectile dysfunction. loss weakness flaccid paralysis over time, no upper neuron signs. Similarly, anesthesia in extremities. Low pain can be divided into local radicular pain: generally deep aching resulting soft-tissue vertebral body irritation; sharp, stabbing compression the dorsal nerve roots projects dermatomal distributions. Urinary manifestations cauda retention, difficulty initiating micturition, decreased urethral sensation. Typically, urinary begin retention are later followed by overflow incontinence. Bowel disturbances may incontinence and/or constipation, anal tone