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2006-09-17 23:30:42 · 3 answers · asked by Yahoo 6 in Science & Mathematics Medicine

I have already Googled for a week straight. I am primarily interested in treatment options of any educated information. I really do appreciate positive answers here. Thank you.

2006-09-17 23:32:56 · update #1

I thank those who have already answered. I did put this question in that other category in error as I didn't see this one first.To summarize I have been diagnosed with MS and this is one of the alternative diagnoses I have been given. I had never heard of this disease before, but it does carry all the symptoms that I am experiencing. I am experiencing severe pain right now that alternates between the pain and paralysis. I am seeing doctors but am trying to learn as much about this before I save up the money for surgery. The weird thing is that I don't have back pain, just tightness, but have learned how compression at L4 L5 S1 can actually cause pain and paralysis in the perinium or saddle area. I just want everyone to know that this is serious to me and I appreciate your efforts more than I can say in this little box. If you learn of anything else about this disorder please contact me as I am trying to make the right decisions here and knowledge is my best defense.

2006-09-18 18:27:09 · update #2

3 answers

I do not have personal experience here are some informations that might be of help:
The management of true cauda equina syndrome (CES) is usually emergency surgical decompression.It is regarded as a medical emergency, although there is no good evidence that earliest possible operation leads to a better result than after a delay.
No proven medical treatment exists, and therapy generally is directed at the underlying cause of CES.

Some may suggest methylprednisolone in a regimen similar to that for traumatic spinal cord injury or another regimen of steroid for the acute syndrome.For penetrating trauma, steroids have not shown significant benefit. Surgery is controversial. The timing of decompression is controversial, with immediate, early, and late surgical decompression showing varying results.

Steroids may be recommended in acute or traumatic CES.
Steroids have anti-inflammatory properties and cause profound and varied metabolic effects. In addition, these agents modify the body's immune response to diverse stimuli. They may decrease edema around nerve root segments.
A regimen of methylprednisolone (Solu-Medrol, Depo-Medrol) may be used. One possible regimen may be the dose employed in traumatic spinal cord injuries, but no studies exist to support this over any other regimen.

Persons with cauda equina syndrome secondary to infectious causes should receive appropriate antibiotic therapy. Persons with spinal neoplasms should be evaluated for the suitability of chemotherapy and radiation therapy.
For persons with a herniated disk as the cause of cauda equina syndrome, a laminectomy to allow decompression of the canal is recommended, followed by gentle retraction and discectomy.
Check out this link for further related releavent isssues: http://www.encyclopedia.com/doc/1E1-x-c1auda.html

2006-09-18 03:35:10 · answer #1 · answered by ♥ lani s 7 · 3 0

I have already answered your question under Home > Health > Diseases & Conditions > Other - Diseases

2006-09-18 09:56:23 · answer #2 · answered by gangadharan nair 7 · 1 0

http://www.webmd.com/search/search_results/default.aspx?query=Cauda+equina+syndrome%3F&x=43&y=16

2006-09-18 07:13:39 · answer #3 · answered by strwberridreamz 3 · 1 0

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