Treatment of Cauda Equina Syndrome in Israel

Professor Tzvi Ram

leading neurosurgeon

The Top Ihilov Medical Center offers effective treatment for cauda equina syndrome. Patients are admitted to the neurosurgery department, where experienced and highly qualified neurosurgeons provide quality medical care. The department is fully equipped with the latest technology and modern equipment. The operating rooms for microsurgical procedures are computerized halls with reliable medical technology. The experience and qualifications of the department's doctors allow for the most complex surgical interventions, including microsurgery.

98%

diagnosis of the syndrome

95%

of patients relieved of pain

2115

microsurgical operations performed

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Microsurgery for Cauda Equina Root Decompression at Top Ihilov Clinic

The goal of the surgery is decompression and release of the roots. To achieve this, a microsurgical intervention is performed using modern microscopic optics and computer technologies. A special instrument is used for precise identification of the roots, and the fibers are sutured with special suture material. Depending on the causes of cauda equina syndrome, neurosurgeons may remove a tumour or excise scar tissue; if a fracture has occurred, compressing fragments are removed, the correct shape of the bones is formed, and if there is an intervertebral hernia, a surgery for its removal is performed, etc. The duration of the operation can take several hours.

After the intervention, prolonged rehabilitation treatment is required. Sometimes it takes years, but in most cases, the outcome is favorable. Usually, the restoration of pelvic organ function occurs after the restoration of motor functions, which should not worry or upset patients.

Diagnosis of Cauda Equina Syndrome at Top Ihilov Medical Center

Cauda Equina is a bundle of nerve roots from the spinal cord that exits from the lumbar and sacral regions of the spinal cord. The bundle received its name due to its external resemblance to a horse's tail. Cauda equina syndrome is a disruption of the functional conductivity of a single root or several roots at once. The syndrome requires prompt treatment; the longer the disruption lasts, the more difficult it is to treat, and without treatment, the patient is at risk of paralysis.

The neurosurgery department at Top Ihilov Medical Center is well-equipped with modern diagnostic equipment, allowing for examinations to be conducted in the shortest possible time. In most cases, patients with cauda equina syndrome require surgical treatment, so they undergo general and specialized examinations:

• Laboratory blood tests
• X-rays
• ECG
• Myelography
• MRI
• CT, etc.

In addition, each patient is examined by leading neurosurgeons and the head of the neurosurgery department. If necessary, specialists from other fields are invited.

Causes of Cauda Equina Syndrome

• injuries and wounds accompanied by compression fractures of the pelvic and spinal bones;
• intervertebral hernia localized in the lumbar region of the spine;
• tumours of the spinal cord. As they grow, the formation compresses the roots and disrupts the conductivity of signals along them;
• subarachnoid hemorrhage. Blood accumulated in the subarachnoid space compresses the roots, and after prolonged compression, the roots cease to conduct signals;
• poor-quality epidural anesthesia;
• adhesion process and complications from spinal surgery, etc.

As a result of trauma, patients experience severe pain syndrome, numbness, and loss of sensitivity in the perineal and gluteal areas may occur. The syndrome is often accompanied by loss of motor function in the lower limbs and urinary disturbances (the patient cannot urinate independently or urine is not retained in the bladder), and erectile dysfunction often arises as well.

The insidiousness of the syndrome is that it requires prompt treatment; the duration of the disruption significantly prolongs the rehabilitation period and complicates treatment. At Top Ihilov Medical Center, treatment is provided for patients with cauda equina syndrome of varying severity, but specialists strongly recommend not delaying a visit to the center and coming immediately after the injury.

Advantages of Treating Cauda Equina Syndrome at Top Ihilov Medical Center

The center has excellent specialists ready to perform the most complex microsurgical interventions. The treatment and examination of patients are well organized and occur in the shortest possible time. Assistance is provided to patients from other countries in arranging their arrival at the medical center. Comfortable special wards are prepared for patients and their accompanying persons, and the patients are monitored by top-category doctors.

Diagnostic Procedures for Cauda Equina Syndrome