Abstract
Objective: To report a case of disc herniation in a young female patient who evolved with Cauda Equina Syndrome (CES) and the need for an immediate surgical approach. Detailing of the case: Female patient, 15 years old, referred to the reference hospital of the city of Franca-SP, with low back pain moderates for 3 weeks and worsens in the last 15 days, irradiated to the lower limbs – predominantly to the right and evolved with urination and fecal dysfunction. Magnetic resonance imaging (MRI) of the lumbosacral spine showed L5-S1 disc hernia. The patient was immediately submitted to bilateral laminectomy and arthrodesis with stabilization of the condition. The collection of information was authorized by the patient and her legal guardian through the informed consent form (TCLE), which was subdued and accepted by the ethics committee of the Santa Casa de Misericórdia de Franca foundation with CAAE 00474918.60000.5438. Final considerations: The SCE is a neurocirugic emergency whose surgical treatment aims at pain relief, recovery and neurological preservation and functional restoration.