急性马尾综合征是继发腰椎间盘突出之后的一种急症,任何引起马尾神经严重受压的损伤都可以造成马尾综合征。病人表现为不同程度的下肢感觉和运动功能的丧失,以及膀胱和括约肌功能障碍。急性起病常常必定有一大块椎间盘突出,多位于椎管直径小的腰椎部,双下肢症状与伴发的膀胱功能丧失与鞍区麻醉相似。然而有时偶见明显的泌尿功能异常也可成为病人唯一的主观和客观的主诉。许多研究已表明在急性表现的情况下应立即加以治疗。 值得注意是Delemarter最近的实验表明:在狗身上造成不完全的马尾受压,不管减压术实施在造成受压之后1小时或一周,其最后的神经功能的恢 Acute cauda equina syndrome is a secondary emergency after the lumbar disc herniation, any serious injury caused by cauda equina can cause Cauda equina syndrome. Patients showed varying degrees of lower limb sensory and motor function loss, as well as bladder and sphincter dysfunction. Acute onset often must have a large disc herniation, mostly located in the lumbar spinal canal with a small diameter, symptoms of both lower extremities and associated loss of bladder function and saddle area anesthesia similar. Occasionally, however, occasional obvious urinary dysfunction can also become the sole subjective and objective complaint of the patient. Many studies have shown that they should be treated immediately in the case of acute manifestations. It is noteworthy that recent Delemarter experiments have shown that in dogs, incomplete cauda equina compression is caused, irrespective of whether decompression is performed at 1 hour or one week after compression, the ultimate neurological recovery