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Asian Spine J. 2013 Sep;7(3):232-5. doi: 10.4184/asj.2013.7.3.232. Epub 2013 Sep 4.

Delayed diagnosis of cauda eqina syndrome with perineural cyst after combined spinal-epidural anesthesia in hemodialysis patient.

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1
Department of Orthopaedic Surgery, Oyamada Memorial Spa Hospital, Yokkaichi, Japan.

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.

KEYWORDS:

Cauda eqina syndrome; Hemodialysis; Perineural cyst

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