{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:08:01Z","timestamp":1789204081705,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":254,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["U24A20115"],"award-info":[{"award-number":["U24A20115"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Neurological Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Cauda equina syndrome (CES) is a severe neurosurgical emergency typically caused by lumbar disc herniation. Its diverse clinical manifestations include radiating lower limb pain, numbness, decreased muscle strength, saddle anesthesia or reduced perineal sensation, bladder and bowel dysfunction (such as urinary retention and constipation), and sexual dysfunction. Early diagnosis and timely decompression surgery are crucial for improving prognosis. Currently, literature reporting the use of unilateral biportal endoscopy (UBE) for treating radiologically atypical CES remains scarce. We report a 21\u2010year\u2010old male patient who presented with the sudden onset of left lower extremity pain and numbness resulting in an antalgic posture, accompanied by acute urinary retention and constipation. Physical examination confirmed cauda equina syndrome with retention (CES\u2010R). Although lumbar magnetic resonance imaging (MRI) revealed a paracentral recess lesion with less central canal compromise than expected for the severity of the symptoms (Schizas Grade A), the patient underwent urgent UBE surgery due to the acute clinical presentation. Postoperatively, the antalgic posture resolved immediately, and the urinary retention and constipation completely resolved within 24\u2009h. Six months postoperatively, the patient demonstrated complete neurological recovery and significantly improved quality of life. Ultimately, this case demonstrates that UBE represents a safe, feasible, and effective alternative option for emergency decompression in acute CES characterized by clinicoradiological discordance, allowing for thorough lateral recess exploration and motion preservation that leads to a favorable neurological recovery.<\/jats:p>","DOI":"10.1155\/crnm\/9001940","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:33:01Z","timestamp":1789201981000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Cauda Equina Syndrome With Clinicoradiological Discordance Treated via Unilateral Biportal Endoscopy: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6735-3589","authenticated-orcid":false,"given":"Qiudong","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5493-3631","authenticated-orcid":false,"given":"Yujian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0722-6491","authenticated-orcid":false,"given":"Jiahao","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6356-4107","authenticated-orcid":false,"given":"Weidong","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3081-2731","authenticated-orcid":false,"given":"Bo","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.ra.2016-0006"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-025-02117-z"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.Rvw.24.00156"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.01.006"},{"key":"e_1_2_14_5_2","first-page":"E259","article-title":"Percutaneous Endoscopic Lumbar Discectomy as an Emergent Surgery for Cauda Equina Syndrome Caused by Lumbar Disc Herniation","volume":"23","author":"Chen C.","year":"2020","journal-title":"Pain Physician"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-05273-1"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recot.2016.01.003"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wnsx.2024.100274"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2023.0012"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2025.v15.i02.5242"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bas.2023.102724"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181d359bd"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.107662"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A8315"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2346190.095"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.25259\/sni-148-2019"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2025.05.101"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-025-08816-x"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jorep.2022.100084"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.31128\/ajgp-08-24-7389"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/aap.0b013e3181ac7bff"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-025-08732-0"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.4103\/jcvjs.jcvjs_132_24"},{"key":"e_1_2_14_24_2","volume-title":"Magnetic Resonance Imaging Findings of Redundant Nerve Roots of the Cauda Equina","author":"G\u00f6k\u00e7e E.","year":"2021"},{"key":"e_1_2_14_25_2","doi-asserted-by":"publisher","DOI":"10.12200\/j.issn.1003-0034.2022.05.018"},{"key":"e_1_2_14_26_2","first-page":"401","article-title":"Group of the Spine and Spinal Cord Professional Committee of the Chinese Association of Rehabilitation Medicine. 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