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Neurology (Expert Forum)
Could it be caudia equina?
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Could it be caudia equina?
by lmichaels, Mar 27, 2003 12:00AM
I wrote the other day regarding a disc reherniation. I saw my neuro doc 3/26. He showed me the MRI and said there was no reherniation. He also said there is no stenosis. He said the urinary and "manhood" problems were probably caused by the Neurontin and told me to stop it immediately. His final diagnosis was that I probably stretched or irritated the nerves. He said to take it easy for a week. If the bladder/manhood problems don't resolve by next Tues 4/1 then call back and we'll from there. Mcphee posted a comment that it sounds like CES. I am still getting weak in the legs with pressure in my lower back at the beltline and down the center of the buttcrack. Lately I've been getting a muscle twitching in both my legs and feet. Even when I am lying in bed relaxing the muscle twitch. Its not constantly only sporadictly. Do you think I just need rest to let the nerve heal or could there be some other problem. My wife is upset with me and I don't blame her because I bring up the subject everyday and she has enough to deal with on her own.
Please help.
Please help.
Doctor's Answer
by CCF-Neuro-M.D.-JT, Mar 27, 2003 12:00AM
Although there is one case report of urinary incontinence with neurontin in the medical literature, impotence, bladder problems, sensory changes, and weakness in the setting of known lumbosacral spine disease and surgery are concerning for problems of the spinal cord which include conus medullaris syndrome or cauda equina syndrome. Although the MRI is somewhat reassuring, I would still consider a second opinion from a neurosurgeon, especially if you're getting worse. Good luck.
Be sure to double check your medications with your physician or see a neurologist! It may be worth your while!
Since I had an epidural for delivery in May 2001 the low back pain has never gone away. I was told epidural after childbirth always had back pain and it would go away, it does and then comes back. I feel like my feet have been inflated in the morning when I get up and I can hardly walk, this after lying in bed does nothing to get rid of the low back pain all night. I don't have incontenence, but I don't have complete control either, and my legs are so weak I can no longer stand up from a stoop without help- all nothing severe, but after reading about CES I wonder? I have never had an MRI or an x-ray, and have never been seen any further about my back, but never had a problem until the epidural. I have read less than 1% can get CES from this procedure and think I should pursue with my DR.
The strange thing is I went to the Dr because my chin kept going numb. He did not see any Neurologic problems but has referred me to a neurologist and doing blood tests for everything including cancer for the "numb chin" though it only tingles. He thinks I have hyperventilation syndrome...and all of that info also led me to CES.
Wondering if anyone else has CES from epidural procedures?