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阴道分娩后马尾综合征

Cauda equina syndrome following vaginal delivery.

作者信息

Lee Seung Jun, Lee So-Young, Choi Jun-Hwan, Lee Hyun Jung

机构信息

Department of Physical Medicine and Rehabilitation, Jeju National University Hospital, Jeju, Korea.

Department of Physical Medicine and Rehabilitation, Jeju National University College of Medicine, Jeju, Korea.

出版信息

Obstet Gynecol Sci. 2025 Sep;68(5):442-445. doi: 10.5468/ogs.25166. Epub 2025 Jun 30.

Abstract

This short communication describes a woman in her 30s with cauda equina syndrome (CES) following a vaginal delivery. She presented with urinary retention, bowel incontinence, and radiating pain in the lower extremities. Magnetic resonance imaging demonstrated a herniated intervertebral disc at the L5/S1 level, leading to surgical intervention. This report highlights the rare occurrence of postpartum CES and underscores the importance of prompt diagnosis, distinguishing it from more common postpartum conditions, and timely management to prevent permanent neurological deficits.

摘要

这篇简短的通讯描述了一位30多岁的女性,她在阴道分娩后出现马尾综合征(CES)。她表现为尿潴留、大便失禁和下肢放射性疼痛。磁共振成像显示L5/S1水平的椎间盘突出,导致了手术干预。本报告强调了产后CES的罕见性,并强调了及时诊断的重要性,将其与更常见的产后情况区分开来,以及及时管理以防止永久性神经功能缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0de2/12463479/25e6421896c3/ogs-25166f1.jpg

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