Epidural cyst with cauda equina syndrome after epidural anesthesia.
A 40-year-old woman without remarkable medical history received epidural anesthesia for uterine cervix conization. Six hours after the operation, cauda equina syndrome occurred. Magnetic resonance imaging of the spine revealed epidural fluid accumulation around L5, as well as L4/5 herniated intervertebral disc found incidentally. Surgical decompression was performed with H-reflex monitoring. Epidural injection could result in cystic accumulation complicated with cauda equina syndrome.
Wu
King-Chuen
KC
Department of Anesthesia, Eda Hospital, Kaohsiung, Taiwan, Republic of China.
Chiang
Yi-Ying
YY
Lin
Bih-Chern
BC
Su
Hung-Tai
HT
Poon
Kin-Shing
KS
Shen
Mei-Ling
ML
Wu
Rick Sai-Chuen
RS
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D003560:Cysts / Q000209:etiology*; D004824:Epidural Space; D005260:Female; D006801:Humans; D011128:Polyradiculopathy / Q000209:etiology*