Brit J Hosp Med
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Cauda equina syndrome results from an injury to the lumbosacral nerve roots below the tip of the conus medullaris, occuring in between 2 and 6% of all laminectomies performed for lumbar disc herniation. This article relates the anatomy of the nervous system of the bladder, rectum, anus and sexual organs to the signs and symptoms of cauda equina syndrome, and reviews the literature for the acute management of these patients.
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Postherpetic neuralgia is the commonest complication of shingles, a debilitating disease common in daily clinical practice. Treatment of postherpetic neuralgia is often complicated, with numerous potential options. This review looks at the evidence in support of the more commonly used medical therapies for this challenging condition.