caa a22 4500 445834358 CHVBK 20180317145326.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00586-010-1668-3 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1668-3 Cauda equina syndrome: a review of the current clinical and medico-legal position [Elektronische Daten] [Alan Gardner, Edward Gardner, Tim Morley] Cauda equina syndrome (CES) is a rare condition with a disproportionately high medico-legal profile. It occurs most frequently following a large central lumbar disc herniation, prolapse or sequestration. Review of the literature indicates that around 50-70% of patients have urinary retention (CES-R) on presentation with 30-50% having an incomplete syndrome (CES-I). The latter group, especially if the history is less than a few days, usually requires emergency MRI to confirm the diagnosis followed by prompt decompression by a suitably experienced surgeon. Every effort should be made to avoid CES-I with its more favourable prognosis becoming CES-R while under medical supervision either before or after admission to hospital. The degree of urgency of early surgery in CES-R is still not in clear focus but it cannot be doubted that earliest decompression removes the mechanical and perhaps chemical factors which are the causes of progressive neurological damage. A full explanation and consent procedure prior to surgery is essential in order to reduce the likelihood of misunderstanding and litigation in the event of a persistent neurological deficit. Springer-Verlag, 2010 Cauda equina syndrome nationallicence Central disc prolapse nationallicence Bilateral sciatica nationallicence Urinary retention nationallicence Perineal hypoaesthesia nationallicence Sexual dysfunction nationallicence Gardner Alan South Essex University Hospitals and The Essex Spine Centre, Brentwood, UK aut Gardner Edward Southampton General Hospital, Wessex Orthopaedic Rotation, Southampton, UK aut Morley Tim Royal National Orthopaedic Hospital, Stanmore, UK aut European Spine Journal Springer-Verlag 20/5(2011-05-01), 690-697 0940-6719 20:5<690 2011 20 586 https://doi.org/10.1007/s00586-010-1668-3 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1668-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gardner Alan South Essex University Hospitals and The Essex Spine Centre, Brentwood, UK aut NATIONALLICENCE 700 1- Gardner Edward Southampton General Hospital, Wessex Orthopaedic Rotation, Southampton, UK aut NATIONALLICENCE 700 1- Morley Tim Royal National Orthopaedic Hospital, Stanmore, UK aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/5(2011-05-01), 690-697 0940-6719 20:5<690 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer