Cauda Equina Syndrome in a Lactating Mother - A Safe Treatment Approach
Autor: | Ajay Kothari, Ketan Khurjekar, Parag Sancheti, Himanshu Gurunath Kulkarni, Shailesh Hadgaonkar |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Decompression Clinical Biochemistry lcsh:Medicine Cauda equina syndrome 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine Surgical emergency Post operative propofol pregnancy related low back pain business.industry General surgery lcsh:R Breastfeeding (mother) General Medicine medicine.disease incomplete cauda equina syndrome Surgery Orthopaedics Section Lumbar disc herniation business 030217 neurology & neurosurgery |
Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 8, Pp RD03-RD05 (2017) |
Popis: | 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. |
Databáze: | OpenAIRE |
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