• Title/Summary/Keyword: cauda-equina

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Cavernous Hemangioma of the Cauda Equina - A Case Report - (마미총에 발생한 해면상 혈관종 - 증례보고 -)

  • Kim, Keun Su;Ahn, Byeong Jo;Han, Dong Han
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.662-665
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    • 2001
  • Spinal cavernous hemangiomas of the cauda equina are extremely rare vascular malformations. We report a case of intradural extramedullary cavernous hemangioma of the cauda equina with it's clinical, radiologic and surgical findings. This is the twelveth case of cavernous hemangioma of the cauda equina in the literature. The pertinent literatures are reviewed.

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Review of the Studies on the Treatment of Cauda Equina Syndrome Using Korean Medicine (마미증후군의 한의학적 치료에 대한 연구 분석)

  • Park, Jong-Han;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.2
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    • pp.159-169
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    • 2019
  • Objectives The purpose of this study was to assess the use of Korean Medicine for treating cauda equina syndrome. Methods We searched for studies of the use of Korean Medicine for the treatment of cauda equina syndrome in 8 electronic databases and analyzed these studies. Results We found 297 studies on cauda equina syndrome from 8 electronic databases. We excluded 230 duplicate studies, 53 studies that did not involve the use of Korean Medicine and 1 review article. In addition, 13 case studies (13 patients) were included. Acupuncture, herbal medicine (13 times), moxibustion (9 times), pharmacopuncture (8 times), physical therapy (6 times), cupping therapy (5 times), and the bladder stimulation technique (4 times) were used. ST36 for acupuncture, Bojoongikgi-tang as a herbal medicine, CV4 for moxibustion, bee venom as a pharmacopuncture material and BL23 in pharmacopuncture point were the most frequently used. Conclusions Korean Medcine for cauda equina syndrome was effective. However, we found limited evidence regarding Korean Medicine for cauda equina syndrome. Thus, we think various type of studies including much more case reports, for cauda equina syndrome should be performed in the future.

Analysis of Disc Creep on the Cauda-Equina Occlusion (추간판 크립이 마미에 미치는 영향 해석)

  • Cho, S.Y.;Kim, Y.E.
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.370-375
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    • 2000
  • To study the effect of a disc creep on the cauda-equina occlusion, 3D-viscoelastic FE model including dura mater was developed. The model was analyzed according to various loading conditions and studied the contact between cauda-equina and nearby elements with time. With this contact the volume of the cauda-equina was changed. The contact and change of the volume were happened most highly in extension with time. By this result, it was concluded that the extension is the most fatal motion to cauda-equina in lumbar spine in all time region.

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A Clinical Case Study of Operation-delayed Cauda Equina Syndrome Patient Improved by Korean Traditional Treatment (한방요법으로 호전된 수술이 지연된 마미 증후군 환자의 증례보고)

  • Jung, Hae-Chang;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.2
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    • pp.181-187
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    • 2015
  • Objectives The objective of this study is to report clinical effect of korean traditional treatments for Operation-delayed Cauda Equina Syndrome patient. Methods The patient was treated by korean traditional treatments including acupuncture, physical treatment, herbal medication. The improvement of the clinical symptoms was observed by Modified Visual analog scale (Modified VAS), SSCES (Scoring System for Cauda Equina Syndrome), function of urination and function of defecation. Results After treatments, Modified VAS, SSCES, function of urination and function of defecation were improved in this case. Conclusions On the basis of these results, we suggest that korean traditional treatment might be an effective method to improve the clinical symptoms of Operation-delayed Cauda Equina Syndrome patient.

Giant Cauda Equina Schwannoma with Dystrophic Calcifications : Case Report and Review of the Literature

  • Hyun, Seung-Jae;Rhim, Seung-Chul
    • Journal of Korean Neurosurgical Society
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    • v.51 no.2
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    • pp.105-108
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    • 2012
  • Giant spinal schwannoma of the cauda equine involving many nerve roots is rare, and ossification is usually not observed in the schwannoma. A 21-year-old man presented with a 12-month history of urinary dysfunction and numbness below the buttocks. Plain radiography showed scalloping of the posterior surface of the vertebral bodies from L4 to the sacrum, and magnetic resonance imaging and computed tomography revealed a giant cauda equina tumor with dystrophic calcification. The tumor was completely removed, with intraoperative neurophysiologic monitoring. Histopathologic examination showed that the tumor was a schwannoma. The patient's postoperative course was uneventful, with urinary function and numbness gradually improving. Although a giant schwannoma accompanied by dystrophic calcification is extremely rare, such a tumor can be removed safely and completely by meticulous dissection and careful neuromonitoring of the cauda equina spinal nerves involved in the tumor.

One Case Study on the Cauda Equina Syndrom (마미증후군 환자 증례보고(症例報告))

  • Kwak, Min-Ah;Lee, Eun-Ju;Park, Chi-Sang;Byun, Joon-Seok;Park, Chang-Gook;Hwang, Hui-Jeung
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.773-778
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    • 2001
  • Cauda Equina Syndrom is caused by compression of nerve root resulted from trauma or neoplasm and so forth in the lumbasacral lesion, so the patients suffer from the incontinence or urgency in urination and feces. We are extended to find out the effect of serveral kinds of Herbal Medicine that administrated to the patient suffering from Cauda Equina Syndrom. This patient was differenciated as defiency of Yang. When administrated Palmijihwang-Hwan gami-Bang, there was dominent improvement in both of symptom and dermatome test. From this case it is thought that Herbal Medicine treatment according to differenciation of symptom is very effective to Cauda Equina Syndrom and that more studies and examinations are needed in futher.

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Cauda Equina Syndrome Caused by Bilateral Facet Cyst Accompanying Spinal Stenosis

  • Kim, Seok-Won;Lee, Seung-Myung
    • Journal of Korean Neurosurgical Society
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    • v.37 no.1
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    • pp.76-78
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    • 2005
  • We report a rare case of cauda equina syndrome due to bilateral lumbar facet cyst. A 62-year-old woman has developed both legs sciatica 3 months prior to her visit, but recently motor weakness and voiding difficulty occurred. Lumbar magnetic resonance image showed bilateral lumbar facet cyst compressing and surrounding both L5 nerve root and accompanying spinal stenosis. Urgent decompressive laminectomy and cyst removal was performed. Although sciatica was relieved and motor weakness was recovered usefully. Voiding difficulty and dysesthesia were not improved.

Intra-Root Cavernous Angioma of the Cauda Equina : A Case Report and Review of the Literature

  • Chun, Sang-Woo;Kim, Sang-Jin;Lee, Tae-Hoon;Koo, Hye-Soo
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.291-294
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    • 2010
  • Authors experienced intra-root cavernous angioma which is very rare case among cavernous angiomas of cauda equina. Our intra-root cavernous angioma was confirmed by findings from operating field and microscopic examination. We report this case with review of the literature.

The Clinical Report on the Case of Cauda Equina Syndrome Using Multiple Korean Medicine Therapies (복합적 한방 치료를 시행한 마미증후군 수술 실패 환자 1례에 대한 증례 보고)

  • Kim, Jung-Sup;Cho, Sung-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.10 no.2
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    • pp.73-85
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    • 2015
  • Objectives : The purpose of this study is to evaluate clinical effect of Korean medical treatments for the patient who were diagnosed as the Cauda Equina Syndrome. Methods : The patient was treated by Korean medical treatments including acupuncture, pharmacopuncture, herbal medication. The Improvement of clinical symptoms was assessed by Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and Muscle Manual Test(MMT). Results : After treatments, VAS and ODI were generally decreased, MMT was improved in case. Conclusions : The Oriental medical treatments might be effective methods to treat the patient who were diagnosed as the Cauda Equina Syndrome.

Cauda Equina Syndrome Following Epidural Adhesiolysis in a Patient with Spinal Stenosis -A case report- (척추관 협착증 환자에서 경막외유착 용해술 후 발생한 마미증후군 -증례 보고-)

  • Lee, Jeong-Min;Kim, Hyung-Jee;Woo, Seol-Hee;Kim, Dong-Hee
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.245-248
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    • 2001
  • Lysis of epidural adhesion has been done in patients with refractory lumbar radiculopathies. Cauda equina syndrome is a rare complication of epidural block. We report on a case of cauda equina syndrome following epidural adhesiolysis in a patient with spinal stenosis. The patient complained of numbness of the perineum, weakness of the left leg, an inability to void and fecal incontinence. She was treated with medication, bladder training and physical therapy, and finally recovered 1 month after the procedure without any sequelae. We suggest that the causative factors are osmotic damage produced by the subarachnoid injection of large doses of hypertonic saline and temporary neural compression due to spinal stenosis.

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