Definitions of traumatic conus medullaris and cauda equina syndrome: a systematic literature review

Brouwers, Eveline M. J. R.; Meent, Henk van de; Curt, Armin; Starremans, B.; Hosman, Allard J. F.; Bartels, Ronald H. M. A.

doi:10.1038/sc.2017.54

Cited by 47 publications

(37 citation statements)

References 41 publications

(102 reference statements)

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“…55 Studies have described medullary injury from T8-L2 and cauda equina injury caudal from L1-L2. 55,56 Conus medullaris syndrome (CMS) and cauda equina syndrome (CES) may be difficult to distinguish. CMS is often defined by a symmetric sensory deficits, paralytic bladder incontinence, bowel incontinence, and mild lower extremity weakness.…”

Section: Thoracolumbar Tscimentioning

confidence: 99%

“…54 There is a variance in the literature regarding the description of the level of spinal injury for conus medullaris and cauda equina injury. 55 Studies have described medullary injury from T8-L2 and cauda equina injury caudal from L1-L2. 55,56 Conus medullaris syndrome (CMS) and cauda equina syndrome (CES) may be difficult to distinguish.…”

Section: Natural Historymentioning

confidence: 99%

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Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury

Wengel

Haan

Feller

et al. 2019

Global Spine Journal

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Study Design: A narrative literature review. Objectives: To review the neurological recovery patterns in traumatic spinal cord injury (tSCI) patients with a complete lack of motor and sensory function below the level of injury (ie, ASIA A [American Spinal Injury Association scale]), as well as the impact of level of injury and timing of surgical intervention. Results: Spontaneous neurological recovery in patients with complete tSCI differs per level of injury: patients with cervical and thoracolumbar tSCI recover ≥1 ASIA grade in 17.3% to 34.0% 1 year after injury, compared with 10.7% to 18.6% in thoracic tSCI. Surgical decompression within 24 hours has a beneficial effect on neurological recovery in patients with complete cervical tSCI, whereas this effect is less clear for thoracic and thoracolumbar tSCI. A 1- or 2-grade improvement in the ASIA scale does not necessarily result in functional recovery. Conclusion: In complete tSCI, the level of injury as well as surgical timing affect neurological recovery. There appears to be a beneficial effect of early surgical decompression in patients with complete cervical tSCI, more so than for thoracic and thoracolumbar tSCI. Frequently, the effect of surgical intervention is evaluated by an improvement in ASIA grade, but it is unclear whether this scale is sensitive enough to evaluate meaningful effectiveness of the intervention and desired outcome for patients with tSCI.

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Section: Thoracolumbar Tscimentioning

confidence: 99%

Section: Natural Historymentioning

confidence: 99%

Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury

Wengel

Haan

Feller

et al. 2019

Global Spine Journal

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“…T12 -L2 arası vertebral travmalar sonrasında oluşabilir. [19] Yaralanma seviyesine bağlı olarak konus medullaris yaralanmalarında alt ve üst motor nöron etkilenimi gözükebilir. Kauda ekina sendromuna göre daha fazla sıklıkta simetrik tutulum gözlenir.…”

Section: Konus Medullarisunclassified

Spinal kord yaralanmalı hastanın değerlendirilmesi

Engin¹,

El²

2018

TOTBID

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“…La mayoría de los autores coinciden en que la intervención quirúrgica precoz ofrece mejores resultados y la recomiendan dentro de las primeras 48 horas del inicio de los síntomas. La descompresión quirúrgica temprana podría revertir déficits neurológicos, prevenir pa-rálisis neurológicas irreversibles y reducir complicaciones como el dolor crónico (8) .…”

Section: Introductionunclassified

Síndrome de cola de caballo secundario a hernia discal

Sapriza¹,

Velasco²,

Galli³

et al. 2020

RMU

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Introducción: el síndrome de cola de caballo (SCC) es una entidad poco frecuente, provocado por la compresión de las raíces nerviosas en el canal a nivel de la cola de caballo. Puede dejar graves secuelas si no es diagnosticado y tratado de forma precoz. Únicamente 2% a 6% de las hernias discales lumbares van a provocar un SCC. El diagnóstico de esta patología se basa en criterios clínicos, siendo éstos objeto de controversia dada la variabilidad de presentación del cuadro clínico. El objetivo de este trabajo es analizar la presentación clínica y evolución posoperatoria de los pacientes intervenidos por SCC secundaria a hernia de disco por equipo del Centro de Deformidades de Columna (CE.DEF.CO), entre enero de 2009 y diciembre de 2018. Material y método: realizamos un análisis retrospectivo. La población objetivo son los pacientes intervenidos por SCC secundario a hernia discal entre enero de 2009 y diciembre de 2018 por equipo del CE.DEF.CO. Analizamos 20 pacientes intervenidos quirúrgicamente, de ellos 17 (85%) casos presentaron síntomas urinarios, 18 (90%) casos dolor o elementos deficitarios en miembros inferiores, 13 casos anestesia/hipoestesia en silla de montar, 6 casos síntomas intestinales y 3 casos presentaron disfunciones sexuales. En 19 casos se realizó procedimiento quirúrgico antes de las 48 de iniciados los síntomas. Resultados: la remisión de síntomas esfinterianos al mes es de 83% y al año posoperatorio de casi 87%. Se constató un caso de disfunción sexual al año posoperatorio. Conclusión: el diagnóstico precoz por el médico emergencista es fundamental, por lo que el conocimiento de esta patología es imprescindible. Nuestros resultados en pacientes intervenidos de forma precoz, antes de las 48 horas, fueron similares a los publicados en la bibliografía internacional con bajo porcentaje de secuelas. Palabras clave: Cauda equina Síndrome cola de caballo Hernia discal Desplazamiento del disco intervertebral

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Definitions of traumatic conus medullaris and cauda equina syndrome: a systematic literature review

Cited by 47 publications

References 41 publications

Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury

Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury

Spinal kord yaralanmalı hastanın değerlendirilmesi

Síndrome de cola de caballo secundario a hernia discal

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