University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.
Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA.
BMJ Case Rep. 2022 Apr 29;15(4):e238793. doi: 10.1136/bcr-2020-238793.
Cauda equina syndrome (CES) is a rare condition that occurs from multiple nerve root compression. It is considered a surgical emergency because it can lead to permanent neurological damage. There is limited literature regarding management and prognosis of CES for pregnant patients, leaving providers with many questions when encountering patients with this condition. We describe the case of a patient who developed CES during pregnancy. She presented at 30 weeks gestation and successfully underwent surgical decompression in prone position. She later delivered via elective caesarean at term. This case highlights management considerations for pregnant patients with CES, including positioning during surgery and use of regional anaesthesia.
马尾综合征（CES）是一种罕见病症，由多根神经根受压引起。由于可能导致永久性神经损伤，因此被视为一种手术急症。关于妊娠患者 CES 的治疗和预后的文献有限，这使得临床医生在遇到此类患者时存在许多疑问。我们描述了一位在妊娠期间发生 CES 的患者的病例。她在妊娠 30 周时出现 CES，并成功接受了俯卧位下的手术减压。随后，她在足月时选择行剖宫产分娩。该病例强调了妊娠 CES 患者的治疗注意事项，包括手术中的体位和区域麻醉的应用。
