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Epidural Shots Leading To Cauda Equina
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
Very rarely: An epidural shot is a very safe and commonly used treatment for disc herniations and stenosis. A very rare complication from an epidural shot can be bleeding into the spinal canal. If this happens and the bleeding is significant it can cause cauda equina syndrome. This would need an emergency surgical procedure to remove the blood compressing the nerve roots. ...Read moreSee 1 more doctor answer
Question about cauda equina syndrome caused by spinal nodule/tumor on cauda equina nerve roots - possible metastasis with severe increasing symptoms?
Don't delay: Cauda equina syndrome is the loss of sensation or strength in the legs, along with loss of bowel and bladder control. It can be caused by tumor masses compressing nerve roots emanating from the lower part of the spinal cord. It is a medical emergency that may require surgery or radiation to prevent a permanent loss of function. ...Read more
Is sacral nerve stimulation likely to work for patient who has neurogenic bladder due to cauda equine syndrome.?
SNS: That question is difficult to answer without additional information, like urodynamic findings and current bladder management. The great thing about sacral nerve stimulation is that it is tested prior to full implantation and you will be able to answer the question for yourself as to whether or not it worked for you prior to implantation. ...Read moreSee 1 more doctor answer
If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?
Interesting Thought: The plan is for the epidural steroid injection that is done posteriorly (called interlaminar/translaminar epidural injection) to reach the anterior epidural space where both the motor and sensory nerves exit out. Below the level of L2, roughly the spinal cord ends and all nerves exiting from the spine have both sensory/motor components. ...Read moreSee 2 more doctor answers
I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?
Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read moreSee 1 more doctor answer
No: Cauda equina (tail of the horse) is just the end of the spinal cord. If there is spinal stenosis, there can be severe back and butt pain and difficulty standing up straight. There can be pinching of sacral nerves that cause pain down the leg and weakness in the feet. Sometimes bowel and bladder function can be affected. Tethering of the spinal cord may be involved. Paralysis should not occur. ...Read more
Rarely: I have seen this happen twice in the span of my medical career, both instances in which the performing physician was not aware of the patients' use of blood thinners. Hematomas formed and extended upward from the "safe" levels of lumbar puncture up to the spinal cord. ...Read moreSee 6 more doctor answers
Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?
C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more
Herniated disc at L5-S1 compresses the dural sac,and lumbar canal stenosis at that area,sciatica(left leg)...do I need surgery??
No: No, it will not alter the spinal canal's size which has become too small for the neural elements which are compressed. In a severe case of spinal stenosis, manipulation has a chance of aggravating the symptoms unless it is gentle traction which may help foraminal stenosis -the region where nerves exit the spine. ...Read moreSee 2 more doctor answers
No cord compression. Vertebral bodies and spinal cord anormal.spinal canal adequate. A hemangioma in the T6 vertebral body is noted. What does this me?
Mostly benign: Vertebral hemangiomas are benign vascular malformations that displace the adjacent bone. They are usually asymptomatic and typically no treatment is necessary. Acute symptoms may occur from secondary compression fracture, sudden mass effect, and internal hemorrhage. With these secondary effects, there are invasive and noninvasive therapeutic options. ...Read moreSee 1 more doctor answer
Spinal cord ends at upper lumbar spine (l1-2 level) and become a bundle of nerve roots, which look like horse tail. It passes bony tube inside the lumbar vertebrae while sending out nerve roots at each spine levels. You can easily visualize the anatomy on-line if ...Read more
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