The importance of evaluating patients with cauda equina syndrome for predicting prognosis

OpenAlex İngilizce

Cauda equine syndrome (CES) is a rare condition which may be associated with severe disability.We would like to thank the authors for the article, as it addresses issues in CES.Cauda equina syndrome is mainly divided into two parts: complete or incomplete in relation to urinary function and perineal sensation. [2]Incomplete CES (CESI) consists of patients who have urinary difficulties, limited urinary sensation, loss of ability to void, partial loss of bowel function, lower extremity weakness, and saddle anesthesia, while complete CES is characterized by overf low incontinence, absence control of the bladder, and complete deficit of saddle anesthesia. [3]It is wellestablished that the outcome for patients with CESI at the time of surgery is often favorable, while the patients with complete CES have a poorer prognosis, despite relieved compression. [2]Therefore, to diagnose patients when they are still in the phase of CESI not only urinary incontinence, but also other micturition problems should be assessed.The authors of the aforementioned article emphasize that six patients had no urinary incontinence.This makes us think these patients were in the CESI category.However, the authors did not provide any information about the patients' postoperative prognosis.