Asian Spine Journal  2013;7(3):232-235

doi:10.4184/asj.2013.7.3.232

Delayed Diagnosis of Cauda Eqina Syndrome with Perineural Cyst after Combined Spinal-Epidural Anesthesia in Hemodialysis Patient.

Shigeo ISHIGURO 1 ; Koji AKEDA ; Masaya TSUJII ; Akihiro SUDO

Affiliations

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Keywords

Cauda eqina syndrome; Perineural cyst; Hemodialysis

Country

Republic 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.