Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach

Cauda equina syndrome is widely considered as a surgical emergency. The cause of cauda equina syndrome usually is a large central lumbar disc herniation, prolapse or sequestration. Decompression at the earliest has been suggested by many authors but the planning of surgical management becomes challe...

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Published inJournal of clinical and diagnostic research Vol. 11; no. 8; pp. RD03 - RD05
Main Authors Kothari, Ajay, Khurjekar, Ketan, Hadgaonkar, Shailesh, Kulkarni, Himanshu, Sancheti, Parag
Format Journal Article
LanguageEnglish
Published Delhi, India JCDR Research and Publications (P) Limited 01.08.2017
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Orthopaedics Section
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Summary:Cauda equina syndrome is widely considered as a surgical emergency. The cause of cauda equina syndrome usually is a large central lumbar disc herniation, prolapse or sequestration. Decompression at the earliest has been suggested by many authors but the planning of surgical management becomes challenging when the patient is a breastfeeding mother. Fear of harmful effects of the drugs (administered in the mother) on the infant, always confuses clinicians regarding the treatment approach. So the multidisciplinary approach is necessary with involvement of anaesthetist, paediatrician and also a gynaecologist if necessary. Thorough knowledge of the safety of drugs to be used in operative and post operative period becomes a necessity keeping the baby into consideration. We present a case of one month postpartum female with cauda equina syndrome and present a stepwise multidisciplinary approach, which involves active contributions from surgeon, for safety of the mother and the infant.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2017/27064.10494