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
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
12-14Informations de copyright
Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Références
Anesth Analg. 1967 Jul-Aug;46(4):440-6
pubmed: 4952222
Int J Spine Surg. 2012 Dec 01;6:29-33
pubmed: 25694868
Surg Neurol. 2002 Apr;57(4):235-40
pubmed: 12173390
Acta Orthop Belg. 2008 Oct;74(5):720-2
pubmed: 19058714
J Pain Res. 2017 Jun 12;10:1425-1429
pubmed: 28652808
Anesthesiology. 1992 Sep;77(3):582-5
pubmed: 1519794
Anesth Essays Res. 2017 Jul-Sep;11(3):776-777
pubmed: 28928587
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
Eur Spine J. 2011 May;20(5):690-7
pubmed: 21193933
Spine (Phila Pa 1976). 2004 Jan 1;29(1):E7-9
pubmed: 14699291