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Re: cauda equina syndrome

Re: cauda equina syndrome

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Posted by Eric Cabot Steed [ a.k.a. Striderji ] on March 09, 2000 at 12:49:37:

In Reply to: Re: cauda equina syndrome posted by Connie on October 23, 1999 at 18:42:35:

Five weeks ago, after having run to my Primary Care Physician with symptoms that mirrored an S5-L1 rupture in 1992 [ Disectomy/Laminotomy ] I was surprised to end up with a preliminary diagnosis of 'Chronic Urinary Retention', 'Probable Neurogenic Bladder: Lower Neuron Dysfunction'.

This is as far as it's gone due to the fact that no one in this area has any Clinical Experience of a bladder anywhere near this size:

[25 cm craniocaudal, 20 cm transverse, 12.7 AP- thats a retained volume in excess of 3,200 ml by the way].

Yesterday, someone pointed me toward the CES sites.

Is there anyone among us that has any working familiarity with this particular aspect??

Addenda: Prior to any other symptoms manifesting I began, and still present alternating diarrhea, constipation, and normal stools with movements only every 36 - 48 hours, presumably the result of the small bowel and colon being displaced laterally and superiorly by the remarkable bladder.

Even with Q4H Intermittent Self Catheterization [ average retention at about 371 ml ] the original presenting symtoms e.g. 'shooting' or intermittent, transient pain bilaterially in the thighs, knees, claves, heels & balls of the feet, hips, and upper and lower pelvic-abdominal cavity, including testicles, with muscle spasms throught the abdominal & pelvic region including the anal sphincter - persist.

'Gerry and Kathy:


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