Q. I had surgeries for cauda equina syndrome. Can you decode the surgery notes?

Answered by
Dr. J Mariano Anto Bruno Mascarenhas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 23, 2017

Hello doctor,

I recently had two spinal surgeries for cauda equina syndrome. I was told that the second surgery was required due to a dural tear. However, on reading my clinical notes, I now question this. I have the operation notes, which I can send (about a paragraph each) if you have a spinal surgeon who can decode them for me.



Welcome to icliniq.com.

I have gone through your query with diligence and would like you to know that I am here to help you.

Can you please elaborate what your question is?

Hello doctor,

I want you to look at the two notes from my operations and tell me the reason for the second one, based on what the second operation found. The notes were attached. Does this help?



Welcome back to icliniq.com.

The first surgery was done to decompress the spinal canal and foramina. During that, the dura (covering of the spinal cord) was injured. They tried to close it. But, somehow, the leak persisted. Because the dura was open, the CSF (cerebrospinal fluid - a fluid that surrounds the brain and spinal cord and lies inside the dura) has come out when the pressure was high.

As long as this fluid comes from the brain to the outside, there is not much of a problem. But, it can also go from the outside to the inside. When that happens, you have a high chance of developing meningitis (brain fever).

So, to prevent you from developing brain fever, a second surgery was done and the leak was closed.

Hope you found the answer helpful. If you need any clarification, please do not hesitate in asking again. I can assist you further.

For more information consult a spine surgeon online --> https://icliniq.com./ask-a-doctor-online/spine-surgeon

Was this answer helpful?


Related Questions:
Does my MRI show any evidence of mastoiditis, meningitis or subdural empyema?

.. scan images are available and I have viewed it (attachment removed to protect patient identity). There is a mild bright abnormal signal intensity in the right mastoid area and the left side is clear. Abnormal signal in mastoiditis means brighter o...   Read full

I have bloating after I eat and also constipation.Please advice.

.. of problems are very common due to our dietary habits and sedentary lifestyle. Sometimes it is due to deficiency of enzymes also, this is uncommon and the main factor is lifestyle. The syndrome of bloating and constipation is known as Irritable ...   Read full

What can cause genital numbness?

.. most common causes of perineal or genital numbness is compression of the nerves in your spine (called as cauda equina) or compression of the nerves in the perineum itself. Only sensory loss is uncommon but still possible in cauda equina syndrome (...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is an arachnoid cyst?

Query: Hello doctor, My friend had giddiness, so he got an MRI scan. The report showed a well-defined cyst in the posterior fossa, dorsal to the cerebellum. It is an arachnoid cyst. It also states bilateral AICA lying at the level of the internal auditory canal without entering the meatus. Type 1 AICA vas...  Read Full »

Why did the doctors ask for my signature during LP procedure?

Query: Hi doctor,My question regarding the LP test of the backbone. Why the doctors want my signature for this test? Is there any major risk or side effect in this procedure? The test showed 5 x 5 rings in the brain and rest everything is normal. There is no previous medical history other than a headache,...  Read Full »

How to treat headaches caused by tuberculous meningitis?

Query: Hello doctor, My father was suffering from fever and right sided headaches, which felt like an electric shock. So, we consulted a doctor, and after several tests, the doctor diagnosed it as tubercular meningitis. All the test including CT scan were normal. So, he prescribed Forcox, Benadon, and Uri...  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Spine Surgeon Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.