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Yıl:2009; Cilt: 46; Sayı: 4>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2009;46(4):187-191
Cauda Equina Sendromu ve İşeme Disfonksiyonları: Mevcut Literatür Işığında Patofizyoloji ve Klinik Yaklaşım
H Kulaksızoğlu, H Kaptan
Selçuk Üniversitesi Selçuklu Tıp Fakültesi, Konya
Cauda equina sendromu, çoklu lomber ve sakral sinir köklerinin kompresif nöropatisi sonucu çift taraflı iskiyatik ağrı, alt ekstremite zayıflığı, barsak ve mesane disfonksiyonu ile birlikte görülen bir nörolojik tablodur. İşeme bozuklukları ile cauda equina arasındaki ilişki iyi tanımlanmış olmasına karşın geniş serilerde klinik olarak bu ilişkiyi değerlendirmiş seriler ne yazık ki sınırlıdır. Bu yazının amacı mevcut bilgiler eşliğinde cauda equina sendromu ile işeme disfonksiyonları arasındaki ilişkiyi ortaya koymak ve yaklaşım konusunda bilgilerimizi tazelemektir.
Cauda Equina Syndrome and Voiding Dysfunction: Pathophysiology and Clinical Approach Under the Light of the Literature
Cauda equina syndrome is a neurological state with bilateral ischiatic pain, lower extremity weakness, and bladder and bowel dysfunction due to multiple compressive neuropathies of the lumbar and sacral nerves. Even though the relationship between cauda equina syndrome and voiding dysfunctions is a well known fact, data on the clinical management of the condition is limited. The aim of this paper is to review the pathophysiological relationship between voiding dysfunctions and cauda equina syndrome and to refresh our knowledge about the clinical approach to this group of patients.

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