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

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.

Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report

“…All these symptoms indicated that he should have CES, and the Tarlov cyst must have an effect on his symptoms [4]. Ishiguro et al described CES associated with S2 root cysts in a patient who underwent a prosthetic femoral removal surgery [9]. Finally, the patient underwent S1 to S5 laminectomy to reduce spinal ow blockage due to stenosis and the laminectomy completely eliminated sensation loss and urinary incontinence.…”

Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report

“…Ishiguro et al described CES associated with S2 root cysts in a patient who underwent a prosthetic femoral removal surgery [ 9 ]. Finally, the patient underwent S1 to S5 laminectomy to reduce spinal flow blockage due to stenosis and the laminectomy completely eliminated sensation loss and urinary incontinence.…”