Cauda Equina Syndrome Following Epidural Adhesiolysis in a Patient with Spinal Stenosis.
- Author:
Dong Hee KIM
1
;
Hyung Jee KIM
Author Information
1. Department of Anesthesiology, College of Medicine, Dankook University, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Cauda equina syndrome;
Adhesiolysis
- MeSH:
Fecal Incontinence;
Humans;
Hypesthesia;
Leg;
Perineum;
Polyradiculopathy*;
Radiculopathy;
Spinal Stenosis*;
Urinary Bladder
- From:Journal of the Korean Continence Society
2003;7(1):46-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lysis of epidural adhesion has been done in patients with refractory lumbar radiculopathies. Cauda equina syndrome is a rare complication of epidural block. We report a case of cauda equina syndrome following epidural adhesiolysis in a patient with spinal stenosis. She complained of numbness in perineum, weakness of left leg, voiding difficulty, and fecal incontinence. She was finally recovered 1 month after the procedure without any sequelae following treatment with medication, bladder training and physical therapy. We suggest the causative factors are osmotic damage produced by subarachnoid injection of large doses of hypertonic saline and the temporary neural compression due to spinal stenosis.
