Factors influencing the outcome in patients with cauda equina syndrome

Česká verzia

Authors: D. Měšťan ¹; B. Musilová ¹; O. Teplý ¹; A. Lisner ²; J. Fiedler ^1,3
Authors place of work: Neurochirurgické oddělení, Nemocnice České Budějovice, a. s. ¹; Katedra botaniky, Přírodovědecká fakulta, Jihočeská univerzita v Českých Budějovicích ²; Neurochirurgická klinika LF MU a FN Brno ³
Published in the journal: Cesk Slov Neurol N 2024; 87(2): 139-143
Category: Short Communication
doi: https://doi.org/10.48095/cccsnn2024139

Summary

Cauda equina syndrome (CES) is a severe neurological condition with potentially high morbidity. Patients usually present with varying degrees of neurological deficit, especially sphincter dysfunction, which needs to be diagnosed early and correctly indicated for surgical treatment. Our retrospective study is focused on the determination of different prognostic factors and their impact on the final neurological outcome of patients with CES. Forty-four CES patients were recruited in the study. The duration of symptoms has proven to be a statistically significant factor in improving the clinical condition. Patients with a shorter medical history of neurological symptomatology had a better neurological outcome. Also, there was a positive relationship between the initial and outcome score, i.e., the outcome status is related to the severity of the neurological deficit on admission. The remaining factors appeared to be statistically insignificant.

Keywords:

prognostic factors – urinary retention – cauda equina – cauda equina syndrome

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