465 Is Physical Activity Related to Pain and Disability? The Role of Fluctuations of Activity and Pain‐related Endurance‐pattern

Abstract

and treatment, CT and MRI scan findings and neurological outcome were collected. Results: A 28 year old male treated with lumbar epidural steroid infiltrations, a 49 year old female with a dropfoot and a 72 year old female with pyelonephritis developed each a different presentation of CES which existed at least 24 hours up to 5 days before decompression was performed. Lasting neurological deficits ranged from sensory loss at the buttocks to urine incontinence. Conclusion: A CES remains a neurological emergency, both diagnostic and surgical. Early recognition of the severity of the situation is difficult, since there is no classical presentation of CES. Delay in diagnosis and treatment can worsen the outcome with potentially irreversible injury. Early surgical decompression has to be performed. Consequently, in every evolving lumbar radicular pain syndrome, a CES must be excluded.