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KMID : 0948920150140020109
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Clinical Pain
2015 Volume.14 No. 2 p.109 ~ p.113
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Cauda Equina Syndrome after Intrathecal Chemotherapy in a Patient with Lympho-blastic B Cell Lymphoma -A Case Report-
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Kim Joo-Hee
Lee Jong-In
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Abstract
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Intrathecal (IT) chemotherapy is an important treatment for hematologic malignancies in the central nervous system. Possible neurologic complications associated with intrathecal chemotherapy include spinal cord lesion, seizure, encephalopathy and arachnoiditis. A 60-year-old man, complaining of headache and diplopia, was admitted and he was diagnosed with lymphoblastic B cell lymphoma through further evaluations. The patient received intrathecal chemotherapy with methotrexate and Ara-C. Two weeks after the chemotherapy, patient showed symptoms of flaccid paresis of his lower extremities and paresthesia on both hands and feet. Two months later, fecal and urinary retention developed. The MRI finding showed no signal change of spinal cord. He was diagnosed with cauda equina syndrome based on neurologic and electrodiagonostic evaluation.
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KEYWORD
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Cauda equina syndrome, Chemotherapy, Intrathe-cal injection
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