Cauda equina syndrome: False-positive diagnosis of neurogenic bladder can be reduced by multichannel urodynamic study

European Spine Journal Jan 14, 2020

Kalidindi KKV, et al. - Because the present consensus implies urgent surgical decompression if clinical characteristics of cauda equina syndrome (CES) are supported by MRI evidence of pressure on cauda equina. Nevertheless, the clinical diagnosis has a high false-positive rate and MRI is a poor indicator. Investigators sought to assess the ability of an objective urological assessment protocol utilizing uroflowmetry + USG-PVR as a screening test and invasive urodynamic studies (UDS) as a confirmatory test in people with suspected CES to figure out neurological impairment of the bladder function. They performed a retrospective study on people with equivocal findings of cauda equina syndrome from January 2014 to December 2018 with positive MRI findings. In a total of 249 individuals who fulfilled the inclusion standards, 34 people were had normal uroflowmetry and USG-PVR findings and 211 people who undergo invasive UDS. Overall, to definitively establish the neurovesical involvement in CES, multichannel UDS gives an objective diagnostic tool. Moreover, to avoid the possibility of a false-positive diagnosis of CES they used multichannel UDS as an adjunct to clinical findings.
Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free.
  • 55 lakhs+ doctors trust M3 globally

  • Nonloggedininfinity icon
    Unlimited access to original articles by experts
  • Nonloggedinlock icon
    Secure: we never sell your data
  • Signing up takes less than 2 mins
Try M3 India / Log In
M3 app logo
Choose easy access to M3 India from your mobile!

M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen