Cauda Equina Syndrome by Facet Synovial Pseudocyst Secondary to Epidural Injection.
10.4055/jkoa.2017.52.6.556
- Author:
Min Seok KANG
1
;
Yeong Ryung LEE
;
Tae Hoon KIM
;
Suk Ha LEE
Author Information
1. Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
cauda equina syndrome;
facet synovial pseudocyst;
epidural injection;
lumbar degenerative disc disease
- MeSH:
Aged;
Cauda Equina*;
Epidural Space;
Female;
Humans;
Injections, Epidural*;
Leg;
Polyradiculopathy*;
Spinal Canal
- From:The Journal of the Korean Orthopaedic Association
2017;52(6):556-561
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 77-year-old woman presented with bilateral leg weakness, accompanied by severe axial back and radicular pain, after a L4–5 epidural injection. She had been receiving misappropriated epidural injections for the last few months. A contrast-enhanced magnetic resonance image showed rim enhancing, spinal canal compromising cystic lesion at the posterior epidural space of L4–5. During surgery, a severely central compromised non-communicating cystic lesion located at posterior epidural space was resected. A histological report of this lesion confirmed a pseudocyst containing a degenerated synovial tissue. Herein, we report our experience of cauda equine syndrome after epidural injection with successful treatment.
