Asian Spine J.  2013 Sep;7(3):232-235. 10.4184/asj.2013.7.3.232.

Delayed Diagnosis of Cauda Eqina Syndrome with Perineural Cyst after Combined Spinal-Epidural Anesthesia in Hemodialysis Patient

• Ishiguro S
• Akeda K
• Tsujii M
• Sudo A

• KMID: 2270438
• DOI: http://doi.org/10.4184/asj.2013.7.3.232

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.

Keyword

Cauda eqina syndrome; Perineural cyst; Hemodialysis

MeSH Terms

Anesthesia
Delayed Diagnosis
Humans
Hypesthesia
Laminectomy
Renal Dialysis
Tarlov Cysts