Liebergall M, Floman Y, Socher E, Robin G
Harefuah. 1989 Mar 15;116(6):308-11.
During the past 5 years 10 patients suffering from cauda equina syndrome as a result of prolapsed disc were treated surgically. Although considerable time had elapsed between the onset of symptoms and the operation, most of the patients improved, at least partially. The syndrome is a rare complication of a common condition of the lower spine. Awareness of its possibility and identification of the early clinical picture are essential. An accurate history and detailed physical examination are the most important factors in early diagnosis. In 5 women and 4 men, who ranged in age from 28-60 and averaged 41 years, the disks involved were L5-S1 in 6, L4-L5 in 2 and L1-T12 in 1 case. Persistent disability was found in most of the patients, including 4 with bladder and 4 with sexual dysfunction. In 7 there was residual sensory loss and in 5 some degree of motor weakness. Earlier surgical treatment seems to be the most effective method for improving the results of treatment.
在过去5年中，对10例因椎间盘突出导致马尾综合征的患者进行了手术治疗。尽管从症状出现到手术之间间隔了相当长的时间，但大多数患者至少部分症状得到了改善。该综合征是下脊柱常见疾病的一种罕见并发症。认识到其可能性并识别早期临床表现至关重要。准确的病史和详细的体格检查是早期诊断的最重要因素。患者中5名女性、4名男性，年龄在28至60岁之间，平均41岁，其中6例病变椎间盘为L5 - S1，2例为L4 - L5，1例为L1 - T12。大多数患者存在持续残疾，包括4例膀胱功能障碍和4例性功能障碍。7例有残余感觉丧失，5例有一定程度的运动无力。早期手术治疗似乎是改善治疗效果的最有效方法。
