MANAGEMENT OF NEGLECTED CONUS MEDULLARIS SYNDROME WITH LUMBAR CANAL STENOSIS

Ahmad Jabir Rahyussalim, Sammy Saleh Alhuraiby, Tri Kurniawati, Khairul Hukmi

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Conus medullaris syndrome is a complex disease entity that is difficult to define because of its location between the spinal cord and nerve roots. The presenting symptoms are not specific and are often missed by primary doctors, making diagnosis challenging. It is even more difficult because the time since onset plays a major role in the outcome. A 47-year-old female displayed neglected conus medullary syndrome due to a compression fracture of L1 that presented as bladder and defecating dysfunctions and leg pain due to lumbar canal stenosis of L4-L5. A decompression surgical procedure involving total laminectomy at the L1 level, posterior stabilization from T11 to L3, and laminotomy, flavectomy, and discectomy at L4 and L5 were performed in this patient. The patient experienced improved motor function after the operation. Her hypoesthesia also improved. However, her bladder and defecating problem were not resolved. Non-full function restoration likely occurred because of the patient’s neglected conus medullaris. However, her function still improved; therefore, surgery was a better option.

Original languageEnglish
Title of host publicationEncyclopedia of Surgery
Subtitle of host publicationVolume 1: (22 Volume Set)
PublisherNova Science Publishers, Inc.
Pages5585-5592
Number of pages8
Volume1
ISBN (Electronic)9781536183887
ISBN (Print)9781536183290
Publication statusPublished - 1 Jan 2020

Keywords

  • conus medullaris syndrome
  • lumbar canal stenosis
  • spinal cord injury

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