J Korean Continence Soc.  2003 Jun;7(1):46-49.

Cauda Equina Syndrome Following Epidural Adhesiolysis in a Patient with Spinal Stenosis

Affiliations
  • 1Department of Anesthesiology, College of Medicine, Dankook University, Cheonan, Korea.
  • 2Department of Urology, College of Medicine, Dankook University, Cheonan, Korea. killtumor@yahoo.co.kr

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.

Keyword

Cauda equina syndrome; Adhesiolysis

MeSH Terms

Fecal Incontinence
Humans
Hypesthesia
Leg
Perineum
Polyradiculopathy*
Radiculopathy
Spinal Stenosis*
Urinary Bladder
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