Cauda Equina Syndrome-Induced Acute Urinary Retention in Patients with Acute Lumbar Disc Herniation: Report of Two Clinical Cases.
Abstract Objective: to discuss two cases with CES-induced acute urinary retention, knowledge of which is essential for early diagnosis, treatment and prevention of neurological dysfunctions. Case presentation: Two patients were hospitalized with symptoms lower back pain with weakness and progressive loss of feeling of lower limbs accompanied by acute urinary retention, urinary system tests were within normal limits. Magnetic resonance imaging results in lumbar disc herniation causing spinal stenosis. Both patients underwent posterior lumbar interbody fusion (PLIF) procedure and showed improvements in symptoms after surgery and re-examination.Conclusion: The diagnosis should be based on magnetic resonance imaging. Lumbar disc herniation is the most common cause of acute urinary retention from cauda equina compression. Laminectomy, with early decompression within 24 to 48 hours, reduces the risk of long-term neurological dysfunction and increases the chances of recovery for the patient.
