Abstract
CAUDA EQUINA SYNDROME BY SUBDURAL HYGROMA AFTER LUMBAR SPINE SURGERY USING EPIDURAL BLOCK

Dr. Tomoki Nishiyama MD, PhD*

ABSTRACT

We experienced a case of cauda equina syndrome after spine fusion surgery. An 82 years old man received L4/5 fusion under general and epidural anesthesia. After surgery, He could not dorsiflex both ankles and constrict his anus. A magnetic resonance imaging showed subdural hygroma at L3. Direct puncture was done using an epidural needle using X-ray fluoroscopy and clear fluid 10 mL was aspirated. The hygroma decreased and his symptom improved after aspiration. The surgical procedure might injure dura or arachnoid.

Keywords: Cauda equina syndrome, spine surgery, epidural block.


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