Causes and Clinical Manifestations of Cauda Equina Syndrome (마미 증후군의 원인과 임상 양상)

Hwang， Chang Ju (황창주); 김영태; Lee, Dong-Ho (이동호); LEE, CHOON SUNG (이춘성); 하정기; 이태균

Causes and Clinical Manifestations of Cauda Equina Syndrome

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2013, 20(4), pp.204-209
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Hwang， Chang Ju ¹, 김영태 ², Lee, Dong-Ho ², LEE, CHOON SUNG ², 하정기 ², 이태균 ²

¹울산대학교
²울산대학교 의과대학 서울아산병원 정형외과학교실

Accredited

ABSTRACT

Study Design: A literature review. Objectives: To describe the causes and clinical characteristics of cauda equina syndrome. Summary of Literature Review: The cauda equina syndrome, complex symptoms and signs expressed as variable clinical manifestation, has rare incidence but needs attention since it can bring about serious complications and sequales if neglected. Materials and Methods: The Author reviewed articles reporting the causes and clinical manifestation of cauda equina syndrome. Results: There are marked inconsistencies in the current evidence base surrounding the definition due to various clinical presentation of cauda equina syndrome. Conclusion: As there is no symptom or sign which has an absolute diagnostic value in establishing the diagnosis of cauda equina syndrome, any patient in whom a clinical suspicion of cauda equina syndrome arises must undergo urgent magnetic resonance imaging for diagnosis.

KEYWORDS

Cauda equina injury, Cauda equina syndrome, Cause, Definition, Clinical manifestation

Citation status

* References for papers published after 2023 are currently being built.

[journal] Mixter WJ / 1934 / Rupture of the intervertebral disc with involvement of the spinal canal / N Engl J Med 211 : 210~215

[journal] Fraser S / 2009 / Cauda equine syndrome : a literature review of its definition and clinical presentation / Arch Phys Med Rehabil 90 : 1964~1968

[book] Mooney V / 1991 / Differential diagnosis of low back disorders: principles of classification, In The adult spine / Raven Press : 1559~1560

[journal] Deyo RA / 1992 / What can the history and physical examination tell us about low back pain / JAMA 268 : 760~765

[journal] Kostuik JP / 1986 / Cauda equine syndrome and lumbar disc herniation / J Bone Joint Surg Am 68 : 386~391

[journal] Shapiro S / 1993 / Cauda equina syndrome secondary to lumbar disc herniation / Neurosurgery 32 : 743~747

[journal] Patel NM / 2002 / Aortic dissection presenting as an acute cauda equine syndrome / J Bone Joint Surg Am 84 : 1430~1432

[journal] Mohit AA / 2006 / Inferior vena cava thrombosis causing acute cauda equine syndrome / J Neurosurg(1 Suppl Pediatrics) 104 : 46~49

[journal] Ahn NU / 2001 / Cauda equina syndrome in ankylosing spondylitis(the CES-AS syndrome) : metaanalysis of outcomes after medical and surgical treatments / J Spinal Disord 14 : 427~433

[journal] Sant SM / 1995 / Cauda equina syndrome in ankylosing spondylitis : a case report and review of the literature / Clin Rheumatol 14 : 224~226

[journal] Ea HK / 2010 / Cauda equina syndrome in ankylosing spondylitis: successful treatment with lumboperitoneal shunting / Spine (Phila Pa 1976) 35 : E1423~E1429

[journal] Morandi X / 2001 / Acute nontraumatic spinal subdural hematomas in three patients / Spine (Phila Pa 1976) 26 : E547~E551

[journal] Kou J / 2002 / Risk factors for spinal epidural hematoma after spinal surgery / Spine (Phila Pa 1976) 27 : 1670~1673

[journal] Podnar S / 2006 / Bladder Dysfunction in Patients With Cauda Equina Lesions / Neurourol Urody 25 : 23~31

[journal] Frenckner B / 1976 / Influence of autonomic nerves on the internal and sphincter in man / Gut 17 : 306~312

[journal] Bruninga K / 1997 / Colonic motility and tone after spinal cord and cauda equina injury / American Journal of Gastroenterology 92 : 891~894

[journal] Giuliano FA / 1995 / Neural control of penile erection / Urol Clin North Am 22 : 747~766

[journal] Podnar S / 2002 / Sexual function in men with cauda equina lesions : a clinical and electromyographic study / J Neurol Neurosurg Psychiatry 73 : 715~720

[journal] Della-Giustina D / 1999 / Emergency department evaluation and treatment of back pain / Emerg Med Clin North Am 17 : 877~893

[journal] Todd NV / 2010 / For debate – guidelines for the management of suspected cauda equine syndrome / Br J Neurosurg 24 : 387~390

[journal] Kennedy JG / 1999 / Predictors of outcome in cauda equine syndrome / Eur Spine J 8 : 317~322

[journal] Ma B / 2009 / Cauda equina syndrome : a review of clinical progress / Chin Med J 122 : 1214~1222

[journal] Bell DA / 2007 / Cauda equina syndrome: what is the correlation between clinical assessment and MRI scanning? / Br J Neurosurg 21 : 201~203

[journal] Balasubramanian K / 2010 / Reliability of clinical assessment in diagnosing cauda equina syndrome / Br J Neurosurg 24 : 383~386

[journal] Domen PM / 2009 / Predictive value of clinical characteristics in patients with suspected cauda equi na syndrome / Eur J Neurol 16 : 416~419

[journal] Ahn UM / 2000 / Cauda equina syndrome secondary to lumbar disc herniation: a meta-analysis of surgical outcomes / Spine (Phila Pa 1976) 25 : 1515~1522

[journal] McCarthy MJ / 2007 / Cauda equina syndrome: factors affecting long-term functional and sphincteric outcome / Spine (Phila Pa 1976) 32 : 207~216

[journal] 양준영 / 2011 / Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis / 대한척추외과학회지 / 대한척추외과학회 18(2) : 57~63

[journal] Gleave JR / 2002 / Cauda equina syndrome: what is the relationship between timing of surgery and outcome? / Br J Neurosurg 16 : 325~328

[journal] Gitelman A / 2008 / Cauda equina syndrome : a comprehensive review / Am J Ortho 37 : 556~562

KJCKorea
Journal Central

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03