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Minerva

Cauda equina syndrome in the third trimester

BMJ 2024; 385 doi: https://doi.org/10.1136/bmj-2023-078711 (Published 11 April 2024) Cite this as: BMJ 2024;385:e078711
  1. Mohamed Ali Ugas, specialty trainee year 6 neurosurgical registrar,
  2. Keyoumars Ashkan, professor of neurosurgery
  1. Department of Neurosurgery, King’s College Hospital NHS Foundation Trust, London, UK
  1. Correspondence to: M A Ugas m.ugas{at}nhs.net

This pregnant woman (34 weeks’ gestation) in her late 40s presented with a one week history of lower back pain, bilateral sciatica, saddle anaesthesia, and urinary incontinence (fig 1). Magnetic resonance imaging of the spine showed disc extrusion at L4-5 with cauda equina compression …

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