J Korean Soc Spine Surg.  2005 Dec;12(4):365-368.

Cauda Equina Syndrome After Percutaneous Endoscopic Discectomy At L5-S1: A case Report

• Shin BJ
• Lee JC
• Nam JS
• Eom JP
• Cho YI
• Kim YI

Abstract

The Cauda Equina syndrome after spine surgery is a relatively uncommon condition, but it is a serious complication that needs emergency treatment. A 35-year-old woman was transferred to our hospital and she presented with decreased perianal sensation and rectal tone after percutaneous endoscopic discectomy. Magnetic resonance image showed that the dura sac was compressed by herniated disc material at L5-S1. After performing emergency open discectomy for the cauda eguina syndrome, the patient's neurologic symptoms were completely resolved at 12 months follow-up. There has been no previous report on Cauda Equina syndrome after percutaneous endoscopic discectomy, and so we report here on one case.

Keyword

Lumbar spine; Cauda equina syndrome; Percutaneous endoscopic discectomy

MeSH Terms

Adult
Cauda Equina*
Diskectomy*
Emergencies
Emergency Treatment
Female
Follow-Up Studies
Humans
Intervertebral Disc Displacement
Neurologic Manifestations
Polyradiculopathy*
Sensation
Spine

Figure

• 

  Fig. 1. (A) Sagittal T2- weighted magnetic resonance image shows extruded disc material at L5-S1 disc space (B) Sagittal enhanced T1- weighted magnetic resonance image shows rim enhanced disc material at L5-S1.

• 

  Fig. 2. (A) Axial T2-weighted magnetic resonance image shows that dura sac is compressed by hernaiated disc material at L5-S1 (B) Axial enhanced T1-weighted magnetic resonance image shows rim enhanced disc material at L5-S1.

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