Assessment of cauda equina syndrome progression pattern to improve diagnosis.

摘要: STUDY DESIGN Meta-analysis of individual patient data. OBJECTIVE To date, the progression pattern cauda equina syndrome (CES) has not been summarized. This study assessed data from CES cases, investigated to help clinicians provide timely diagnoses. SUMMARY OF BACKGROUND DATA Because there were few randomized controlled trials about CES, our research was based on case reports with detailed medical history. METHODS We searched English literature regarding in PubMed database. included a total 198 publications involving 264 cases that met inclusion criteria. The occurrence order symptoms determined by reviewing patients' histories, and analyzed using sequential mining. Finally, we summarized reassessed current timing diagnosis. RESULTS Result mining demonstrated process could be divided into 3 stages: early stage (CESE), bilateral peripheral nerve dysfunction characterized progressive sensory-motor defects unilateral lower extremities; incomplete reduction sphincter functions; retention, dysfunction. Among all 81.08% (180 cases) diagnosed at or which 99.4% (179 had experienced CESE without being diagnosed. CONCLUSION characteristic extremities marked onset. Instead waiting for onset function abnormalities, should when manifest.