Delayed Diagnosis of Cauda Eqina Syndrome with Perineural Cyst after Combined Spinal-Epidural Anesthesia in Hemodialysis Patient.
- Author:
Shigeo ISHIGURO
1
;
Koji AKEDA
;
Masaya TSUJII
;
Akihiro SUDO
Author Information
- Publication Type:Case Report
- Keywords: Cauda eqina syndrome; Perineural cyst; Hemodialysis
- MeSH: Anesthesia; Delayed Diagnosis; Humans; Hypesthesia; Laminectomy; Renal Dialysis; Tarlov Cysts
- From:Asian Spine Journal 2013;7(3):232-235
- CountryRepublic of Korea
- Language:English
- Abstract: Symptomatic Tarlov (perineural cysts) are uncommon. In the following hemodialysis case, cauda equina syndrome was not detected after combined spinal-epidural anesthesia untilthe patient reported a lack of sensation in the perianal area 14 days postoperatively. She had normal motor function of her extremities. A laminectomy and cyst irrigation was performed. After the operation, her sphincter disturbance subsided gradually and her symptoms had disappeared.
