A 29-year-old man presents with acute onset severe lower back pain and bilateral leg weakness after heavy lifting. He has saddle anesthesia and urinary retention. MRI shows central disc herniation at L4-L5. What is the expected outcome with prompt treatment?
AComplete recovery in all cases
BGood functional recovery in most cases
CVariable outcome depending on delay
DPoor prognosis regardless of treatment
ERecovery limited to bladder function
A 45-year-old man presents with acute severe lower back pain and leg weakness. MRI shows large central disc herniation with cauda equina compression. What is the surgical urgency?
AElective (weeks)
BUrgent (days)
CEmergency (hours)
DNo surgery needed
EDepends on symptoms
A 24-year-old man presents with acute onset severe lower back pain and bilateral leg weakness. He has urinary retention and saddle anesthesia. What is the time frame for surgical intervention?
AWithin 6 hours
BWithin 24-48 hours
CWithin 1 week
DWithin 1 month
ENo time limit
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