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KMID : 1189320130070030232
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Asian Spine Journal
2013 Volume.7 No. 3 p.232 ~ p.235
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Delayed Diagnosis of Cauda Eqina Syndrome with Perineural Cyst after Combined Spinal-Epidural Anesthesia in Hemodialysis Patient
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Ishiguro Shigeo
Akeda Koji
Tsujii Masaya
Sudo Akihiro
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Abstract
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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.
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KEYWORD
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Cauda eqina syndrome, Perineural cyst, Hemodialysis
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