Kapetanakis Stylianos, Chaniotakis Constantinos, Kazakos Constantinos, Papathanasiou Jannis V
1Department of Spine Surgery and Deformities, European Interbalkan Center of Thessaloniki, Thessaloniki, Greece.
2Department of Orthopaedic Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
Folia Med (Plovdiv). 2017 Dec 20;59(4):377-386. doi: 10.1515/folmed-2017-0038.
Cauda equina syndrome (CES) is a rare neurologic condition that is caused by compression of the cauda equina. Cauda equina consists of spinal nerves L2-L5, S1-S5 and the coccygeal nerve. The compression of these nerve roots can be caused mainly by lumbar disc herniation (45% of all causes). The diagnosis consists of two critical points: a) detailed history and physical examination and b) MRI or CT. The gold standard of the treatment of this syndrome is the surgical approach in combination with the timing of onset of symptoms. The surgery as an emergency situation is recommended in the fi rst 48 hours of onset of symptoms. Any delay in diagnosis and treatment leads to a poor prognosis of CES.
马尾综合征（CES）是一种由马尾受压引起的罕见神经系统疾病。马尾由腰神经L2 - L5、骶神经S1 - S5和尾神经组成。这些神经根受压主要可由腰椎间盘突出症引起（占所有病因的45%）。诊断包括两个关键点：a）详细的病史和体格检查；b）磁共振成像（MRI）或计算机断层扫描（CT）。该综合征治疗的金标准是手术方法结合症状出现的时间。建议在症状出现的最初48小时内作为紧急情况进行手术。诊断和治疗的任何延迟都会导致马尾综合征预后不良。
