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Bladder issues, leakage, saddle, numbness, foot drop post fusing of L3-4, L4-5, tests showed weak CSF, indentationon thecal sac. Advice?

myelogram weak CSF through needle at L2-L3, Slight identation on thecal sac ventrally at L2-L3 but the canal measures 11mm, without definite protrusion assesment minimally limited by overlying hardware. Bladder issues, leakage, saddle numbness, foot drop . Post L3-L4 fusion with hardware and L4- L5 fusion with hardware left pyriformis release.
Asked On : Sun, 16 Sep 2012
Answers:  1 Views:  580
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM!

The bladder and numbness, foot drop issues are due to nerve root dysfunction after the surgery.(Sacral nerves mainly)

Either swelling (oedema) or damage of nerves can cause this. Low CSF pressure is common after surgery and if there is a leak.

Do you mean these symptoms were not there before the surgery?
Is there any fever or pus near operated area?

If new (I feel you mean this), please be guided by your neurosurgeon for the course to be taken.

If only oedema, it can get better with time and treatment.

Otherwise a surgical consultation will help.

I hope to have addressed your query well.

Take care and please keep me informed of your progress.

Good Luck!

I hope to have answered your query satisfactorily.

Thank you!

Answered: Sun, 16 Sep 2012
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