Affiliations: [a] Physical Medicine and Rehabilitation Department, Faculty of Medicine İstanbul Teaching and Research Center, Başkent University, Istanbul, Turkey | [b] Department of Neurosurgery, Faculty of Medicine İstanbul Teaching and Research Center, Başkent University, Istanbul, Turkey | [c] Physical Medicine and Rehabilitation Department, Faculty of Medicine, Başkent University, Ankara, Turkey
Correspondence:
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Corresponding author: Evrim Coşkun Celik, MD, Department of Physical Medicine and Rehabilitaion Baskent University, Oymaci Sokak No:7 34662 Altunizade, Istanbul, Turkey. Tel.: +90 0216 5541500; Fax: +90 02166516626; E-mail: evrimcoskun@yahoo.com
Abstract: The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. In the postoperative period, the patient did not have any muscle weakness of leg but had residual saddle type sensory loss and sphincter dysfunction. This article discusses atypical presentation of cauda equina syndrome (CES) secondary to LDH. Early diagnosis and surgery are important factors for a better prognosis in CES.
