Document Detail

Cauda equina syndrome in ankylosing spondylitis. Anatomical, diagnostic, and therapeutic considerations.
MedLine Citation:
PMID:  7234535     Owner:  NLM     Status:  MEDLINE    
This article describes a case of cauda equina syndrome associated with ankylosing spondylitis, and reviews 28 additional cases in the literature. The neurological symptoms appear late in the evolution of spondylitis, when it is at an inactive stage. The diagnosis is easily confirmed by myelography, with watersoluble contrast and performed in a supine position, and by computerized tomography (CT) scan of the lumbar spine. The typical features are dilated lumbar sac with multiple dorsal diverticula. The pathogenesis of this entity remains the subject of speculation. Arachnoiditis with subsequent adhesions is the most likely explanation. No treatment has proved helpful so far. Surgery is not indicated.
M Soeur; G Monseu; D Baleriaux-Waha; M Duchateau; E Williame; J L Pasteels
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  55     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1981  
Date Detail:
Created Date:  1981-07-20     Completed Date:  1981-07-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  303-15     Citation Subset:  IM    
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MeSH Terms
Cauda Equina*
Middle Aged
Nerve Compression Syndromes / diagnosis,  etiology*,  surgery
Spondylitis, Ankylosing / complications*

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