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 chal...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10494/27064_CE[]_F[AP]PF1_(MJ_PY)_PFA(MJ_SS)_PF2(SY_MJ_GG).pdf |
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| author | Ajay Kothari Ketan Khurjekar Shailesh Hadgaonkar Himanshu Kulkarni Parag Sancheti |
| author_facet | Ajay Kothari Ketan Khurjekar Shailesh Hadgaonkar Himanshu Kulkarni Parag Sancheti |
| author_sort | Ajay Kothari |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T21:49:01Z |
| format | Article |
| id | doaj.art-732197b26dc444eeaf8a27f4302d7e3e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-20T21:49:01Z |
| publishDate | 2017-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-732197b26dc444eeaf8a27f4302d7e3e2022-12-21T19:25:36ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-08-01118RD03RD0510.7860/JCDR/2017/27064.10494Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment ApproachAjay Kothari0Ketan Khurjekar1Shailesh Hadgaonkar2Himanshu Kulkarni3Parag Sancheti4Assistant Professor, Department of Spine Surgery, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.Chief Consultant, Department of Spine Surgery, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.Deputy Chief Consultant, Department of Spine Surgery, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.Junior Consultant, Department of Spine Surgery, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.Director, Department of Orthopaedics, Arthroscopy and Arthroplasty, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.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.https://jcdr.net/articles/PDF/10494/27064_CE[]_F[AP]PF1_(MJ_PY)_PFA(MJ_SS)_PF2(SY_MJ_GG).pdfincomplete cauda equina syndromepregnancy related low back painpropofol |
| spellingShingle | Ajay Kothari Ketan Khurjekar Shailesh Hadgaonkar Himanshu Kulkarni Parag Sancheti Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach Journal of Clinical and Diagnostic Research incomplete cauda equina syndrome pregnancy related low back pain propofol |
| title | Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach |
| title_full | Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach |
| title_fullStr | Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach |
| title_full_unstemmed | Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach |
| title_short | Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach |
| title_sort | cauda equina syndrome in a lactating mother a safe treatment approach |
| topic | incomplete cauda equina syndrome pregnancy related low back pain propofol |
| url | https://jcdr.net/articles/PDF/10494/27064_CE[]_F[AP]PF1_(MJ_PY)_PFA(MJ_SS)_PF2(SY_MJ_GG).pdf |
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