Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre
Abstract Introduction Cauda equina syndrome has a devastating effect on quality of life. Early diagnosis and intervention is the current practice, for better outcomes. The purpose of our study is to evaluate the influence of the timing of surgery in cauda equina syndrome outcomes. Materials and meth...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-024-00336-y |
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| author | Mohsin Fayaz Sarabjit Singh Chibber Nagaraju Venishetty Aizul Khursheed Bipin Chaurasia Malik Naseer |
| author_facet | Mohsin Fayaz Sarabjit Singh Chibber Nagaraju Venishetty Aizul Khursheed Bipin Chaurasia Malik Naseer |
| author_sort | Mohsin Fayaz |
| collection | DOAJ |
| description | Abstract Introduction Cauda equina syndrome has a devastating effect on quality of life. Early diagnosis and intervention is the current practice, for better outcomes. The purpose of our study is to evaluate the influence of the timing of surgery in cauda equina syndrome outcomes. Materials and methods We conducted a prospective study of a cohort of patients presented with cauda equina syndrome. Based on the durations of symptoms, patients were divided into three groups less than 24 h, 24–48 h and more than 48 h. Outcomes in the form of sensations, motor power and bladder control improvements were observed at 6 months postoperatively. Statistical analysis is made in the form of percentage or Fischer’s exact p-value whichever is suitable. Results A total of 46 patients were included in the study. All patients have bladder symptoms at presentation. At the end of 6 months, we found that the timing of surgery or duration of symptoms does not have any correlation with outcomes. Conclusion Even though early surgical intervention is consensus in cauda equina syndrome, we suggest surgery as soon as pragmatically feasible but not at the expense of patient safety. |
| format | Article |
| id | doaj-art-4203dc6ed39b48ff95bc145e9afce4fc |
| institution | OA Journals |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-4203dc6ed39b48ff95bc145e9afce4fc2025-08-20T02:01:35ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011610.1186/s41984-024-00336-yCauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centreMohsin Fayaz0Sarabjit Singh Chibber1Nagaraju Venishetty2Aizul Khursheed3Bipin Chaurasia4Malik Naseer5Sher-i-Kashmir Institute of Medical SciencesSher-i-Kashmir Institute of Medical SciencesSher-i-Kashmir Institute of Medical SciencesSher-i-Kashmir Institute of Medical SciencesBhawani Hospital and Research CentreSher-i-Kashmir Institute of Medical SciencesAbstract Introduction Cauda equina syndrome has a devastating effect on quality of life. Early diagnosis and intervention is the current practice, for better outcomes. The purpose of our study is to evaluate the influence of the timing of surgery in cauda equina syndrome outcomes. Materials and methods We conducted a prospective study of a cohort of patients presented with cauda equina syndrome. Based on the durations of symptoms, patients were divided into three groups less than 24 h, 24–48 h and more than 48 h. Outcomes in the form of sensations, motor power and bladder control improvements were observed at 6 months postoperatively. Statistical analysis is made in the form of percentage or Fischer’s exact p-value whichever is suitable. Results A total of 46 patients were included in the study. All patients have bladder symptoms at presentation. At the end of 6 months, we found that the timing of surgery or duration of symptoms does not have any correlation with outcomes. Conclusion Even though early surgical intervention is consensus in cauda equina syndrome, we suggest surgery as soon as pragmatically feasible but not at the expense of patient safety.https://doi.org/10.1186/s41984-024-00336-yCauda equina syndromeCESTiming of surgerySpine surgeryLumbar disc |
| spellingShingle | Mohsin Fayaz Sarabjit Singh Chibber Nagaraju Venishetty Aizul Khursheed Bipin Chaurasia Malik Naseer Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre Egyptian Journal of Neurosurgery Cauda equina syndrome CES Timing of surgery Spine surgery Lumbar disc |
| title | Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre |
| title_full | Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre |
| title_fullStr | Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre |
| title_full_unstemmed | Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre |
| title_short | Cauda equina syndrome: real emergency or a misnomer—prospective observational study in a tertiary care centre |
| title_sort | cauda equina syndrome real emergency or a misnomer prospective observational study in a tertiary care centre |
| topic | Cauda equina syndrome CES Timing of surgery Spine surgery Lumbar disc |
| url | https://doi.org/10.1186/s41984-024-00336-y |
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