Delayed diagnosis of cauda eqina syndrome with perineural cyst after combined spinal-epidural anesthesia in hemodialysis patient.
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.
Department of Orthopaedic Surgery, Oyamada Memorial Spa Hospital, Yokkaichi, Japan.
Shigeo
S
Ishiguro
Koji
K
Akeda
Masaya
M
Tsujii
Akihiro
A
Sudo
Cauda eqina syndrome; Hemodialysis; Perineural cyst