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Int Neurourol J > Volume 7(1); 2003 > Article
Journal of the Korean Continence Society 2003;7(1): 46-49.
DOI: https://doi.org/10.5213/jkcs.2003.7.1.46   
Cauda Equina Syndrome Following Epidural Adhesiolysis in a Patient with Spinal Stenosis.
Dong Hee Kim, Hyung Jee Kim
1Department of Anesthesiology, College of Medicine, Dankook University, Cheonan, Korea.
2Department of Urology, College of Medicine, Dankook University, Cheonan, Korea. killtumor@yahoo.co.kr
ABSTRACT
Lysis of epidural adhesion has been done in patients with refractory lumbar radiculopathies. Cauda equina syndrome is a rare complication of epidural block. We report a case of cauda equina syndrome following epidural adhesiolysis in a patient with spinal stenosis. She complained of numbness in perineum, weakness of left leg, voiding difficulty, and fecal incontinence. She was finally recovered 1 month after the procedure without any sequelae following treatment with medication, bladder training and physical therapy. We suggest the causative factors are osmotic damage produced by subarachnoid injection of large doses of hypertonic saline and the temporary neural compression due to spinal stenosis.
Keywords: Cauda equina syndrome; Adhesiolysis
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