Cauda equina syndrome after caudal epidural sacral injection in severe lumbar spinal stenosis: Case report

Wibowo, Hastomo Agung and Rhatomy, Sholahuddin (2020) Cauda equina syndrome after caudal epidural sacral injection in severe lumbar spinal stenosis: Case report. International Journal of Surgery Case Reports, 77. pp. 12-14. ISSN 22102612

Full text not available from this repository. (Request a copy)

Abstract

Introduction: Caudal epidural sacral injection is one of the most common conservative treatments for chronic low back pain with radiculopathy. Neurological deficit after injection is a rare complication that must be identified and treated properly.
Presentation of case: We report a case of cauda equina syndrome that persisted until 3 months after injection. A 63-year-old man came to our department with severe lumbar canal stenosis who experienced motor weakness, buttocks numbness and voiding difficulties immediately after injection. His lower extremities improved after 24 h, but his neurogenic bladder problems and perianal numbness still persisted. We collaborated with our interdisciplinary teams to do a rehabilitation program, and the symptoms were alleviated and he fully recovered within three months.
Conclusion: Patients with severe stenosis can be best described from magnetic resonance imagery scans, and clinicians should be careful about the risks after injection ranging from transient complications to persistent spinal cord injury.

Item Type: Article
Uncontrolled Keywords: Cauda equina syndrome; Epidural steroid injection; Treatment complications
Subjects: R Medicine > RB Biomedical Sciences
Divisions: Faculty of Medicine, Public Health and Nursing > Biomedical Sciences
Depositing User: Sri JUNANDI
Date Deposited: 05 Jun 2025 01:49
Last Modified: 05 Jun 2025 01:49
URI: https://ir.lib.ugm.ac.id/id/eprint/17436

Actions (login required)

View Item
View Item