AIM We present a case report of a female patient with metastasis of breast carcinoma to the medullary conus and cauda equina. METHODS A 48-year-old woman with a history of breast tumor, suddenly felt severe weakness and numbness of the lower extremities. MRI of the spine disclosed a mass lesion within the medullary conus, with leptomeningeal involvement of cauda equina at the spinal level L1....

PURPOSE To describe a case of complete neurological recovery from cauda equina syndrome lasting ten months following spinal anesthesia with 0.5% hyperbaric bupivacaine and epidural anesthesia with ropivacaine, and to discuss the possible mechanisms involved. CLINICAL FINDINGS A 79-yr-old man with Paget's disease was scheduled for surgery to remove a skin tumour below his scrotum. He had no hi...

BACKGROUND Capillary hemangiomas are benign vascular tumors that rarely occur in the neuraxis. When encountered in the spine, prompt diagnosis and complete resection is crucial. On rare instances, these lesions can acutely hemorrhage, leading to sudden neurological decline. To date, there are only 16 reported cases of intradural capillary hemangiomas in the cauda equina. CASE DESCRIPTION We r...

Objective: Recognizing cauda equina redundant nerve root syndrome is crucial before surgery. Magnetic resonance imaging (MRI) findings of this condition are demonstrated. The aim of this study is to identify patients with redundant nerve root syndrome (RNS), well demonstrate (MRI) findings, notify the surgeon before the surgery and therefore to prevent a potential catastrophe. Methods: Ten pati...

Cauda equina syndrome is a relatively uncommon condition typically associated with a large, space-occupying lesion within the canal of the lumbosacral spine. The syndrome is characterized by varying patterns of low back pain, sciatica, lower extremity sensorimotor loss, and bowel and bladder dysfunction. The pathophysiology remains unclear but may be related to damage to the nerve roots composi...

To define the anatomy of the cauda equina nerve roots by MR imaging, the lower spine of 14 normal volunteers was imaged using a high-field surface-coil technique. A total of 56 sagittal and 56 axial MR sections (eight selected slices from each case) were correlated with undistorted anatomic sections from cadaver spine specimens, and the visualization of the nerve roots was assessed. In addition...

Background: The timing of surgical intervention for cauda equina syndrome with retention remains debated. This systematic review and meta-analysis aimed to investigate the relationship between the timing of surgical intervention and the prognosis of micturition function in cauda equina syndrome with retention.Material and methods: Literatures in PubMed and ELSEVIER between Jan 1, 1990 and Dec 3...

In 1934 Mixter and Barr described the syndrome of the ruptured intervertebral disc in the lumbar region. Since then the herniated intervertebral disc has been considered to be the dominant cause of low back pain and sciatica. In 1953 Schlesinger and Taveras pointed out that in the presence of a narrow spinal canal patients with herniated intervertebral discs may present an atypical picture of m...

BACKGROUND Afferents from the urinary tract transmit bladder sensations to the central nervous system. Spinal cord injury (SCI) may affect both efferent motor and afferent sensory pathways. Presence/absence of bladder sensations in patients with complete spinal cord, conus or cauda equina lesions was compared with neurologically unimpaired patients. METHODS During urodynamics, bladder sensati...