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Proplaspe Intervertebral Disc (Slip Disc) with Cauda Equina Syndrome


32 year old lady complained of sudden onset back pain radiating down to both lower limbs and had partial loss of bowel and urine control. She had a BMI of 29 kg/m2 and weighed 145 kgs.

MRI revealed a disc herniation at L4-5 level with compression at the lower Lumbar Nerve roots.

Cauda Equina Syndrome is a condition where in the compression of Lumbar nerve roots leads to loss of control over bowel/ Urine.

This was a surgical emergency and patient needed to be operated within 24 hours of presentation.

Patient was operated with L4-5 microdiscectomy. She had a good recovery from pain and her control over urine regained gradually.