{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:03Z","timestamp":1756312803735,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,6]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Cauda equina syndrome (CES) is a rare condition that occurs from multiple nerve root compression. It is considered a surgical emergency because it can lead to permanent neurological damage. There is limited literature regarding management and prognosis of CES for pregnant patients, leaving providers with many questions when encountering patients with this condition. We describe the case of a patient who developed CES during pregnancy. She presented at 30 weeks gestation and successfully underwent surgical decompression in prone position. She later delivered via elective caesarean at term. This case highlights management considerations for pregnant patients with CES, including positioning during surgery and use of regional anaesthesia.<\/jats:p>","DOI":"10.1136\/bcr-2020-238793","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T11:57:28Z","timestamp":1651233448000},"page":"e238793","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Management of cauda equina syndrome during pregnancy and postpartum"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1975-3814","authenticated-orcid":false,"given":"Amanda","family":"Vakos","sequence":"first","affiliation":[{"name":"University of South Florida, Morsani College of Medicine, Tampa, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Dean","sequence":"additional","affiliation":[{"name":"University of South Florida, Morsani College of Medicine, Tampa, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Callie","family":"Reeder","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adetola","family":"Louis-Jacques","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"2025082709070477000_15.4.e238793.1","unstructured":"Wiseman D . Cauda equina syndrome 2021. Available: https:\/\/www.aans.org\/en\/Patients\/Neurosurgical-Conditions-and-Treatments\/Cauda-Equina-Syndrome"},{"key":"2025082709070477000_15.4.e238793.2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200006150-00010"},{"key":"2025082709070477000_15.4.e238793.3","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/S0301-0082(00)00065-4","article-title":"Cauda equina syndrome","volume":"64","author":"Orend\u00e1cov\u00e1","year":"2001","journal-title":"Prog Neurobiol"},{"key":"2025082709070477000_15.4.e238793.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.01.006"},{"key":"2025082709070477000_15.4.e238793.5","unstructured":"Surgeons BAoS . Standards of care for investigation and management of cauda equina Syndrome2018. Available: https:\/\/spinesurgeons.ac.uk\/resources\/Documents\/News\/Cauda_Equina_Syndrome_Standards_SBNS_BASS%20-%20Dec%202018.pdf [Accessed 26 Nov 2021]."},{"key":"2025082709070477000_15.4.e238793.6","first-page":"100","article-title":"Imaging in cauda equina syndrome--a pictorial review","volume":"82","author":"McNamee","year":"2013","journal-title":"Ulster Med J"},{"key":"2025082709070477000_15.4.e238793.7","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s00586-017-5040-8","article-title":"How to treat lumbar disc herniation in pregnancy? A systematic review on current standards","volume":"26","author":"Di Martino","year":"2017","journal-title":"Eur Spine J"},{"key":"2025082709070477000_15.4.e238793.8","unstructured":"Dawodu ST . Cauda equina and Conus medullaris syndromes clinical presentation, 2018. Available: https:\/\/emedicine.medscape.com\/article\/1148690-clinical"},{"key":"2025082709070477000_15.4.e238793.9","doi-asserted-by":"crossref","first-page":"e102","DOI":"10.1097\/AOG.0000000000002237","article-title":"Committee opinion no. 713: antenatal corticosteroid therapy for fetal maturation","volume":"130","year":"2017","journal-title":"Obstet Gynecol"},{"key":"2025082709070477000_15.4.e238793.10","unstructured":"Quaile A . Cauda equina syndrome\u2014the questions."},{"key":"2025082709070477000_15.4.e238793.11","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002355"},{"key":"2025082709070477000_15.4.e238793.12","unstructured":"Rider IS , Marra EM . Cauda equina and Conus medullaris syndromes. StatPearls. Treasure Island (FL), 2020."},{"key":"2025082709070477000_15.4.e238793.13","doi-asserted-by":"crossref","first-page":"471","DOI":"10.5435\/00124635-200808000-00006","article-title":"Cauda equina syndrome","volume":"16","author":"Spector","year":"2008","journal-title":"J Am Acad Orthop Surg"},{"key":"2025082709070477000_15.4.e238793.14","doi-asserted-by":"crossref","first-page":"S50","DOI":"10.1007\/s00586-004-0728-y","article-title":"Positioning on surgical table","volume":"13 Suppl 1","author":"Schonauer","year":"2004","journal-title":"Eur Spine J"},{"key":"2025082709070477000_15.4.e238793.15","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004012"},{"key":"2025082709070477000_15.4.e238793.16","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1007\/s00586-018-5519-y","article-title":"Surgical management of cauda syndrome in third trimester of pregnancy focusing on spinal anesthesia and right lateral positioning during surgery as possible practices","volume":"27","author":"Kovari","year":"2018","journal-title":"Eur Spine J"},{"key":"2025082709070477000_15.4.e238793.17","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000179"},{"key":"2025082709070477000_15.4.e238793.18","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000286"},{"key":"2025082709070477000_15.4.e238793.19","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1007\/s00586-017-4943-8","article-title":"Cauda equina syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction","volume":"26","author":"Korse","year":"2017","journal-title":"Eur Spine J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:07:14Z","timestamp":1756310834000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4,29]]},"published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1136\/bcr-2020-238793"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238793","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}