Cauda equina syndrome after caudal epidural sacral injection in severe lumbar spinal stenosis: Case report.

Cauda equina syndrome Epidural steroid injection Treatment complications

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
2020
Historique:
received: 17 09 2020
revised: 20 10 2020
accepted: 21 10 2020
pubmed: 3 11 2020
medline: 3 11 2020
entrez: 2 11 2020
Statut: ppublish

Résumé

Caudal epidural sacral injection is one of the most common conservative treatments for chronic low back pain with radiculopathy. Neurological deficit after injection is a rare complication that must be identified and treated properly. We report a case of cauda equina syndrome that persisted until 3 months after injection. A 63-year-old man came to our department with severe lumbar canal stenosis who experienced motor weakness, buttocks numbness and voiding difficulties immediately after injection. His lower extremities improved after 24 h, but his neurogenic bladder problems and perianal numbness still persisted. We collaborated with our interdisciplinary teams to do a rehabilitation program, and the symptoms were alleviated and he fully recovered within three months. Patients with severe stenosis can be best described from magnetic resonance imagery scans, and clinicians should be careful about the risks after injection ranging from transient complications to persistent spinal cord injury.

Identifiants

pubmed: 33137663
pii: S2210-2612(20)30978-0
doi: 10.1016/j.ijscr.2020.10.100
pmc: PMC7610032
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

12-14

Informations de copyright

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Hastomo Agung Wibowo (HA)

Orthopaedic Traumatology Department, Soeradji Tirtonegoro General Hospital, Indonesia; Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia.

Sholahuddin Rhatomy (S)

Orthopaedic Traumatology Department, Soeradji Tirtonegoro General Hospital, Indonesia; Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia. Electronic address: doktergustomrhatomy@yahoo.com.

Classifications MeSH