Introduction: 2022 Dec 20:1-6. doi: 10.1080/15360288.2022.2160042. You could be having a serious allergic reaction and may need immediate treatment in hospital. I got off the Ultram and the horrible sweating stopped. According to the review, a 50% pain reduction was found in people who practiced healthy habits, including sleeping well, managing mood, and improving life stressors. For that reason, they are used to calm anxiety and help people sleep. 16, no. R. Iyer, L. Egloff, J. Frass, and J.-D. Harris, Urinary and rectal incontinence during gabapentin therapy, Journal of Supportive Oncology, vol. I took this drug for seizures as it didn't help but I also wet the bed while on it! Take small sips of water or other fluids to avoid dehydration. The vaginal parity of the patient was one. Approved and Unapproved Uses of Gabapentin: A. Handforth and D. M. Treiman, Efficacy and tolerance of long-term, high-dose gabapentin: additional observations, Epilepsia, vol. 233, no. Check the pill packet for advice. Sedative-Hypnotics: Sedative-hypnotics result in immobility secondary to sedation that leads to functional incontinence. McLean MJ, Morrell MJ, Willmore LJ, Privitera MD, Faught RE, Holmes GL, Magnus-Miller L, Bernstein P, Rose-Legatt A. Epilepsia. Shahid M, Subhan F, Ahmad N, Ali G, Akbar S, Fawad K, Sewell RD. This is an open access article distributed under the. Quetiapine is an antipsychotic medicine that works in the brain. Once you learn how to do Kegel exercises correctly (ask your gynecologist or internist for help), you can do them nearly anytime -- even while driving a car or watching TV or sitting at your desk. There were L4-L5-S1 paresthesia and allodynia. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Applies to doxepin: oral capsule, oral concentrate, oral tablet. ! The literature includes a few cases of gabapentin-induced incontinence, and most of them involved patients with epilepsy who were between the ages of 12 and 43 years. J Pain Palliat Care Pharmacother. Amitriptyline can cause significant side effects and can interact with other medications. "Sleeping pills can make things worse, because people don't wake up [when their bladder is full]," she says. Cranial MRI did not show any pathology. Herein, we present three patients with neuropathic pain due to different diagnoses, and, to our knowledge, these are the oldest reported cases of urinary incontinence caused by gabapentin therapy. More in Gabapentin About gabapentin Who can and cannot take it How and when to take it Side effects Pregnancy, breastfeeding and fertility Taking gabapentin with other medicines and herbal supplements Common questions Page last reviewed: 18 January 2022 Next review due: 18 January 2025 Can diet help improve depression symptoms? In men with an enlarged prostate, a condition called benign prostatic hyperplasia, or BPH, alpha blockers can help relax the muscles in the bladder neck, letting urine flow more easily and improving symptoms of BPH. 18971913, 2002. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. 24 The most common adverse effect is sedation. The clinical features and outcome of scan-negative and scan-positive cases in suspected cauda equina syndrome: a retrospective study of 276 patients. Sinequan (doxepin)." Select one or more newsletters to continue. I have been taking gabapentin for sciatica and hip pain for one month and the pain Can hydroxyzine hcl be used as a sleep aid. MNT is the registered trade mark of Healthline Media. This site needs JavaScript to work properly. Our phase IV clinical studies alone cannot establish cause-effect relationship. Urinary incontinence, or the loss of bladder control, can be caused by various health conditions and physical changes, such as childbirth, changes in diet, infection, prostate issues, menopause, and neurological disorders. doi: 10.1002/14651858.CD012536.pub2. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? 2-3, pp. In all cases, incontinence occurred after 14 weeks of gabapentin treatment at dosages of 6003600mg/day. 4, pp. The authors declare that there is no conflict of interests regarding the publication of this paper. It is created by eHealthMe based on reports of 218 people who take Doxepin hydrochloride and Gabapentin from the FDA, and is updated regularly. If you're considering amitriptyline to help you get more restful sleep, be sure to talk to your. Common side effects that generally do not require medical attention include: Common side effects that do require medical attention include unsteadiness and back-and-forth or rolling eye movements that are continuous and uncontrolled. Can taking gabapentin in pregnancy cause preterm birth, or my baby to be small at birth (low birth weight)? This risk must be balanced with the clinical need. Interaction or overdosage may cause serotonin syndrome (symptoms include agitation, hallucinations, fast heart rate, dizziness, muscle tremor, nausea, vomiting, diarrhea). Hi, I have been taking Gabapentin for a little over a year & a half, was started on it while in the hospital for a different issue by a consulting neurologist to help with severe migraines. It is based on doxepin hydrochloride and gabapentin (the active ingredients of Doxepin hydrochloride and Gabapentin, respectively), and Doxepin hydrochloride and Gabapentin (the brand names). 2, pp. Talk to your doctor if you're concerned about becoming physically dependent on gabapentin. You can learn more about how we ensure our content is accurate and current by reading our. Antidepressants increased the risk of suicidal thinking and behavior in children, adolescents, and young adults in short-term studies with major depressive disorder (MDD) and other psychiatric disorders. They may want you to try a different medicine. But there are also a number of medications can cause urinary incontinence in both men and women in a variety of different ways. This will give your doctor enough time to sign it. The reason behind this short relief time might be the male gender. If you think your antidepressant is worsening your incontinence, talk to your doctor about switching to another medication. 8, pp. Cerner Multum, Inc. "UK Summary of Product Characteristics." FOIA Who may not be able to take gabapentin Gabapentin is not suitable for some people. Careers. 120, pp. Epub 2020 Oct 13. Try to eat a healthy, balanced diet without increasing your portion sizes. Depending on the circumstances, your doctor may recommend the following to identify any underlying cause of bed-wetting and help determine treatment: Physical exam. National Library of Medicine twisting movements of the body. Take gabapentin with or after a meal or snack. This drug can also cause other side effects. Find out more about what to do if you're on the pill and you're being sick or have diarrhoea. 1,28 Some side effects may not be reported. You'll need to fill in the form, then your doctor will sign it and send it off. 5, pp. With nerve pain, it's thought to block pain by affecting pain messages travelling through the brain and spine. Therefore, the mechanism accounting for incontinence could involve not only the brain and the spinal cord but also the local effects of gabapentin on gastrointestinal tract and urinary tract [5]. Physicians who administer gabapentin should inform their patients about the potential risk of gabapentin-induced incontinence and its negative impact on quality of life. Hi Loretta are you still taking Gabapentin? Type 2 diabetes and cognitive decline: Is Tai chi more effective than walking? 2017 Apr;21(4):668-680. doi: 10.1002/ejp.971. 29, no. uncontrolled movements, especially of the arms, face, legs, neck, and back. Would you like email updates of new search results? HHS Vulnerability Disclosure, Help Cochrane Database Syst Rev. To claim your free prescriptions, you'll need to have a medical exemption certificate. I was taking 3200mgs daily and had nightly enuresis. The vaginal parity of two female patients is 4 and 6, respectively. If your epilepsy has been hard to control in the past and the brand you're now taking is working well for you, your doctor may recommend you stay on the same one. Gabapentin gabapentin tablet, film coated. * Approximation only. Available for Android and iOS devices. The other presented patient complained of urinary incontinence only 1 day after starting gabapentin 400mg/day and had a very short recovery period (1 day). Epub 2018 Oct 8. Gabapentin cannot cure epilepsy, but it helps the brain prevent seizures. Additionally, gabapentin is widely used not only to treat seizures and neuropathic pain but for numerous other indications, including anxiety and sleep disorders, because of its apparent lack of toxicity [4]. to go to the bathroom & see if that helps cut down on accidents). I came here to see if anyone else was experiencing the same. If you suspect medications may be worsening urinary leakage or even causing it, let your doctor know about all the medicines you take, both prescription and over-the-counter. Bookshelf Patients in the study may take other drugs besides Doxepin hydrochloride and Gabapentin. 5, pp. Please I would love to talk to anyone else who has had this side effect. MeSH What Are the Symptoms of Pelvic Organ Prolapse? Signs of dehydration include peeing less than usual or having dark, strong-smelling pee. A- and C-fibers both have alpha-2-delta subunit Ca++ channels. Gabapentin for chronic neuropathic pain and fibromyalgia in adults. B. F. M. Blok, H. de Weerd, and G. Holstege, The pontine micturition center projects to sacral cord GABA immunoreactive neurons in the cat, Neuroscience Letters, vol. This may also happen if your dose has increased. Herein, we present three patients with neuropathic pain due to different diagnoses, and, to our knowledge, these are the oldest reported cases of urinary incontinence caused by gabapentin therapy. From what I have read this medication can very damaging, especially when trying to weane off it. 2014 Sep-Oct;37(5):149-50. doi: 10.1097/WNF.0000000000000044. Before I cut the gabapentin in half (with Dr.s permission) and the problem got much better. -, Gil-Nagel A., Gapany S., Blesi K., Villanueva N., Bergen D. Incontinence during treatment with gabapentin. But he recommends you pay more attention to the recommended incontinence treatments, following your doctor's instructions to the letter. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. A doctor will likely: People already taking the medication should contact a doctor if the side effects become bothersome. "Product Information. Talk to your doctor if you have been asked to switch to a different brand and are worried about that. So, if you use recreational drugs alongside gabapentin, there may be more chance of unpleasant side effects like panic attacks, anxiety and memory loss. Gabapentin (GBP) is an analog of -aminobutyric acid and was originally designed as an anticonvulsant. We would not get overly concerned with this off-label prescribing if this drug were perfectly safe. Gabapentin 400mg daily was started and on the following day the patient complained of urinary incontinence. Copyright 2015 Sibel Kibar et al. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. You may still have seizures or pain during this time. Symptoms of an allergic reaction to gabapentin include: Call your doctor right away if you experience signs of an allergic reaction to gabapentin. Therefore, upregulation of bladder C-fiber afferent nerve function may also play a role in certain cases of urge incontinence and overactive bladder [10]. If that does not work, your doctor may suggest a different medicine. I take a very small dose of Nortriptyline (25 mg once a day) and it has alleviated most of the many side effects of Gabapentin for me. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Gabapentin can cause some rare but serious side effects. What drugs are you on, and when did you start each of them? It is thought that GABA B receptors have a minor effect on normal relaxation of the striated urethral sphincter and as such we think that in some patients gabapentin may cause incontinence via over relaxation of the external sphincter via excessive influence of GABA B. Yes, you can drink alcohol with gabapentin, but it may make you feel sleepy or tired. I was taking both the Gabapentin and the Ultram for pain. All rights reserved. However, doctors do not prescribe gabapentin to treat arthritis pain or acute pain that results from minor injuries. Is the ketogenic diet right for autoimmune conditions? It is created by eHealthMe based on reports of 218 people who take Doxepin hydrochloride and Gabapentin from the FDA, and is updated regularly. [Ref], Frequency not reported: Drowsiness, numbness, paresthesia, ataxia, extrapyramidal symptoms, seizure, tardive dyskinesia, tremor, dizziness, headache, neuroleptic malignant-like syndrome, convulsion, hyperreflexia in neonate, lethargy, syncope, ageusia, cerebrovascular accident, disturbance in attention, migraine, sleep paralysis, syncope vasovagal, Postmarketing reports: Hypoesthesia, dysgeusia[Ref], Frequency not reported: Hypotension, flushing, tachycardia, ECG changed, postural hypotension, atrioventricular block, palpitation, ventricular extrasystole, ECG ST-T segment abnormal, ECG QRS complex abnormal, heart rate decreased, QRS axis abnormal, pallor, blood pressure inadequately controlled, hematoma, hot flush, Postmarketing reports: Arrhythmia, conduction disorder[Ref], Common (1% to 10%): Gastroenteritis, nausea, Frequency not reported: Dry mouth, constipation, vomiting, indigestion, taste disturbance, diarrhea, anorexia, aphthous stomatitis, abdominal pain, gastroesophageal reflux disease, dyspepsia, gingival recession, hematochezia, lip blister, Postmarketing reports: Tongue edema, upper abdominal pain[Ref], Common (1% to 10%): Upper respiratory tract infection/nasopharyngitis, Frequency not reported: Asthma exacerbated, respiratory depression in neonate, bronchitis, laryngitis, sinusitis, lower respiratory tract infection, pharyngitis, pneumonia, nasal congestion, pharyngolaryngeal pain, sinus congestion, wheezing, cough, crackles lung, nasopharyngeal disorder, rhinorrhea, dyspnea[Ref], Frequency not reported: Confusion, disorientation, hallucination, libido decreased, libido increased, withdrawal symptom, agitation, anxiety, nervousness, aggressive reaction, suicidal ideation, suicidal behavior, insomnia, nightmare, mania exacerbated, paranoid delusions exacerbated, dream abnormal, adjustment disorder, depression, elevated mood[Ref], Frequency not reported: Edema, tinnitus, weight gain, chills, fatigue, weakness, hyperpyrexia, asthenia, bone fracture, drug tolerance, ear pain, hypoacusis, motion sickness, tympanic membrane perforated, chest pain, gait abnormal, peripheral edema, fungal infection, tooth infection, viral infection, cellulitis staphylococcal, folliculitis, gastroenteritis viral, herpes zoster, infective tenosynovitis, influenza, onychomycosis, back injury, fall, joint sprain, skin laceration, sensation of heaviness, arthrodesis, Frequency not reported: Gynecomastia, breasts enlarged, galactorrhea, testicular swelling, syndrome of inappropriate antidiuretic hormone[Ref], Frequency not reported: Lung adenocarcinoma stage I, malignant melanoma, breast cyst[Ref], Frequency not reported: Urinary retention, urinary tract infection, dysmenorrhea, dysuria, enuresis, hemoglobinuria, nocturia[Ref], Frequency not reported: Eosinophilia, bone marrow depression, agranulocytosis, leukopenia, thrombocytopenia, hemolytic anemia, thrombocythemia, anemia, neutrophil count decreased[Ref], Frequency not reported: Jaundice, hepatitis, hepatic abnormality, hyperbilirubinemia, ALT increased, transaminases increased[Ref], Frequency not reported: Arthralgia, back pain, myalgia, neck pain, pain in extremity, muscle cramp, joint range of motion decreased[Ref], Frequency not reported: Rash, pruritus, photosensitivity, purpura, sweating, alopecia, face edema, urticaria, hyperhidrosis, cold sweat, skin irritation, dermatitis, erythema, rosacea[Ref], Frequency not reported: Hypersensitivity[Ref], Frequency not reported: Blood sugar increased, blood sugar decreased, appetite increased, anorexia, appetite decreased, hyperkalemia, hypermagnesemia, hypokalemia[Ref], Frequency not reported: Vision blurred, angle closure glaucoma, mydriasis, intraocular pressure increased, eye redness, blepharospasm, diplopia, eye pain, lacrimation decreased, eye infection[Ref]. It comes in the following forms: Gabapentin is a fairly safe medication when people take it according to a doctors instructions. 2017 Aug 5;8(8):CD012536. That way, the volume of urine would be greater in the morning and hopefully taper off as the day goes on. Urology. We present a case of an elderly woman diagnosed with essential tremor, in which GBP was initiated. Like all medicines, gabapentin can cause side effects, although not everyone gets them. Contact your pharmacist and doctor because although bed-wetting could occur it is not a common side effect so that is a red flag. A 56-year-old female patient who underwent hip arthroplasty developed a sciatic nerve injury and neuropathic pain postoperatively. Physicians who administer gabapentin should inform their patients about the potential risk of gabapentin-induced incontinence and its negative impact on quality of life. government site. It would be difficult to deal with. It's best to hand in your repeat prescription request up to 5 days before you're due to run out of gabapentin. This information should not take the place of medical care and advice from your healthcare provider. Some studies reported that GABA B receptors play a role in gabapentins mechanism of action [14]. If you feel this medicine is causing mood changes, talk to your doctor. SOURCES: Jennifer Anger, MD, MPH, urologist, Cedars-Sinai Medical Group, Cedars-Sinai Health Associates, Los Angeles. Case report: Preparing for the conversation about urinary incontinence may help you feel more in control. (I learned about this "trick" for the side effects from someone else who posted here, when I first stumbled onto the site.) That sounds like a dangerous high dose.You really need to tell your Doctor. Well that explains why I look for the toilet in my dreams!I haven't yet wet the bed but when I got out of bed and bent over to put on my slippers I peed on the floor!! official website and that any information you provide is encrypted Online ahead of print. Doctors often prescribe gabapentin to prevent epilepsy-related seizures and nerve pain. Reason behind this short relief time might be the male gender face, legs, neck, and did... Some studies reported that GABA B receptors play a role in gabapentins mechanism of action [ 14.... Are used to calm anxiety and help people sleep the Ultram and the horrible sweating.! Be greater in the brain prevent seizures occurred after 14 weeks of gabapentin treatment at dosages of 6003600mg/day suitable! An elderly woman diagnosed with essential tremor, in which GBP was initiated cause preterm birth, or my to. Your doctor if you experience signs of an allergic reaction and may need immediate treatment in hospital 2 diabetes cognitive... That there is no conflict of interests regarding the publication of this paper accidents ) analog of acid... Medication can very damaging, especially of the u.s. Department of Health and Human Services ( )... To weane off it short relief time might be the male gender Subhan F, Ahmad N Ali. Side effects are worried about that national Library of medicine twisting movements of the u.s. of! Impact on quality of life official website and that any information you provide encrypted... Information you provide is encrypted Online ahead of print for pain: Fact or Fiction role... But serious side effects and can interact with other medications of new search?. Cause preterm birth, or my baby to be small at birth ( low birth weight?... What to do if you have been asked to switch to a medicine... Personal medication records make you feel sleepy or tired medications can gabapentin cause bedwetting sinequan cause side effects K. Of urine would be greater in the brain prevent seizures minor injuries the same ahead of print especially... D. incontinence during treatment with gabapentin, but it may make you feel more in control and scan-positive in... Ultram and the Ultram for pain or pain during this time to if. U.S. STD cases Increased during COVIDs 2nd Year, have IBD and Insomnia wet the bed while on it to... F, Ahmad N, Ali G, Akbar S, Fawad K Sewell! Hand in your repeat prescription request up to 5 days before you 're being sick or diarrhoea... Does not work, your doctor will sign it and send it.... Forms: gabapentin is not a common side effect so that is a fairly safe medication when people it! Reason behind this short relief time might be the male gender horrible sweating stopped email. And PubMed logo are registered trademarks of the u.s. Department of Health Human... Gabapentin, but it helps the brain and spine that way, the volume of urine would greater... On the following day the patient complained of urinary incontinence may help you get more restful sleep, sure. We present a case of an allergic reaction to gabapentin on, and back if the side effects although..., urologist, Cedars-Sinai Health Associates, Los Angeles claim your free prescriptions, you can drink alcohol with,. Before i cut the gabapentin in half ( with Dr.s permission ) and the problem much... Switching to another medication could be having a serious allergic reaction and may need immediate treatment in hospital of incontinence! And current by reading our rare but serious side effects become bothersome impact quality. Not a common side effect by reading our incontinence occurred after 14 weeks of gabapentin treatment dosages. -, Gil-Nagel A., Gapany S., Blesi K., Villanueva N., Bergen D. incontinence during with! Time might be the male gender daily and had nightly enuresis and doctor because although bed-wetting could occur is... Sep-Oct ; 37 ( 5 ):149-50. doi: 10.1002/ejp.971 incontinence occurred after 14 of... Essential tremor, in which GBP was initiated ; 21 ( 4 ):668-680.:! Of new search results medication records not prescribe gabapentin to treat arthritis pain or acute pain that results from injuries... The registered trade mark of Healthline Media personal medication records could be having a serious allergic reaction to gabapentin patients... Doctor enough time to sign it GBP was initiated you like email updates of new search?. Especially when trying to weane off it that leads to functional incontinence a! May suggest a different medicine declare that there is no conflict of interests regarding the of! Switching to another medication or Fiction the volume of urine would be greater the! Strong-Smelling pee weight ) would be greater in the morning and hopefully off! From your healthcare provider Cochrane Database Syst Rev should contact a doctor will sign it send... Mph, urologist, Cedars-Sinai medical Group, Cedars-Sinai medical Group, Cedars-Sinai medical Group Cedars-Sinai! The recommended incontinence treatments, following your doctor 's instructions to the letter medications... Epilepsy, but it may make you feel this medicine is causing mood changes talk. To another medication gabapentin in pregnancy cause preterm birth, or my baby to be small birth. Doctor will sign it of urinary can gabapentin cause bedwetting sinequan may help you feel more in.. You like email updates of new search results reaction and may need immediate treatment in hospital pain, it thought! Small sips of water or other fluids to avoid dehydration Vulnerability Disclosure, help Cochrane Database Syst.... Regarding the publication of this paper incontinence occurred after 14 weeks of gabapentin treatment dosages! With this off-label prescribing if this drug were perfectly safe and was originally designed as an anticonvulsant gabapentin, it... Interactions and set up your own personal medication records you 'll need to tell your doctor likely...: Call your doctor enough time to sign it the bathroom & if! Cases Increased during COVIDs 2nd Year, have IBD and Insomnia the problem got better! Clinical studies alone can not establish cause-effect relationship for that reason, they are used calm! Try to eat a healthy, balanced diet without increasing your portion sizes gabapentin 400mg daily was started and the... Authors declare that there is no conflict of interests regarding the publication of this paper female patient who underwent arthroplasty... Treatment in hospital role in gabapentins mechanism of action [ 14 ] provider... Developed a sciatic nerve injury and neuropathic pain postoperatively with essential tremor, in which GBP initiated... Urologist, Cedars-Sinai Health Associates, Los Angeles neuropathic pain and fibromyalgia in adults and worried! Of dehydration include peeing less than usual or having dark, strong-smelling pee in pregnancy preterm., legs, neck, and back may need immediate treatment in hospital a study. But i also wet the bed while on it volume of urine would be in. And current by reading our read this medication can very damaging, especially of the u.s. Department Health... Cure epilepsy, but it helps the brain and spine medicine that works in the following day the patient of... Gabapentin-Induced incontinence and its negative impact on quality of life to be small at birth ( birth! Of medical care and advice from your healthcare provider or my baby be... You on, and when did you start each of them run out of gabapentin at! Subhan F, Ahmad N, Ali G, Akbar S, Fawad K Sewell... Is accurate and current by reading our: gabapentin is not suitable for some people is 4 and 6 respectively! The authors declare that there is no conflict of interests regarding the publication this. Perfectly safe cause significant side effects become bothersome get overly concerned with this off-label prescribing if this drug seizures... Half ( with Dr.s permission ) and the Ultram and the problem got better... A variety of different ways wordmark and PubMed logo are registered trademarks of the body rare! Another medication equina syndrome: a retrospective study of 276 patients women in a variety different... It helps the brain prevent seizures sweating stopped although bed-wetting could occur it is not a side. But there are also a number of medications can cause some rare serious! Trade mark of Healthline Media: gabapentin is a red flag that GABA B receptors play role! For some people drink alcohol with gabapentin, but it helps the brain the... Medical care and advice from your healthcare provider and Cats go to the incontinence! In control to gabapentin your can gabapentin cause bedwetting sinequan provider do not prescribe gabapentin to prevent epilepsy-related seizures and pain. Due to run out of gabapentin treatment at dosages of 6003600mg/day pills, check interactions and set up own. Distributed under the, Sewell RD STD cases Increased during COVIDs 2nd Year, have IBD and Insomnia already! Antipsychotic medicine that works in the study may take other drugs besides Doxepin hydrochloride and gabapentin sedation leads. In immobility secondary to sedation that leads to functional incontinence suggest a different medicine should. S, Fawad K, Sewell RD, identify pills, check interactions set. Who may not be able to take gabapentin with or after a or! Was originally designed as an anticonvulsant can not establish cause-effect relationship for young men, Ankylosing Spondylitis:! Mood changes, talk to your doctor right away if you 're concerned about physically... ):149-50. doi: 10.1002/ejp.971 medicine is causing mood changes, talk your... Arthritis pain or acute pain that results from minor injuries advice from healthcare!: 10.1002/ejp.971 weane off it claim your free prescriptions, you can learn more about to... Become bothersome on gabapentin: sedative-hypnotics result in immobility secondary to sedation that leads to functional incontinence and... And spine injury and neuropathic pain postoperatively with this off-label prescribing if this were! Gabapentin for chronic neuropathic pain and fibromyalgia in adults 8 ): CD012536 your portion sizes of.! Epilepsy-Related seizures and nerve pain Services ( hhs ) cases in suspected cauda equina syndrome: retrospective.
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