Cauda Equina is a relatively rare condition and therefore data on long term outlook is limited.ĬES can affect people both physically and emotionally, particularly if it is chronic. Many of these patients also require long term follow-up with rehabilitation medicine. Following surgery, drug therapy coupled with intermittent self-catheterization can help lead to a slow, but steady, recovery of bladder and bowel function.įollow-up with the patient’s surgeon occurs a few weeks after surgery to check healing and progress. Even patients who undergo surgery after the 48-hour ideal time frame may experience improvement.Īlthough short-term recovery of bladder function may lag behind reversal of lower extremity motor deficits, the function may continue to improve years after surgery. Treating patients within 48 hours after the onset of the syndrome provides a significant advantage in improving sensory and motor deficits as well as urinary and rectal function. Prompt surgery is the best treatment for patients with CES. Those experiencing any of the red flag symptoms should be evaluated by a neurosurgeon or orthopedic spine surgeon as soon as possible. Left untreated, CES can result in permanent paralysis and incontinence. The goal is to free up the compressed nerve roots and give them the best chance of recovery possible. Once the diagnosis of CES is made and the etiology established, urgent/emergent surgery is usually the treatment of choice.
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