Delayed diagnosis of cauda eqina syndrome with perineural cyst after combined spinal-epidural anesthesia in hemodialysis patient.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24066221.
- Also identified by DOI 10.4184/asj.2013.7.3.232 and PMC identifier 3779777.
- Licence recorded as CC BY-NC.
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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.