Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 6 , Pages 492.e1-492.e3 , July 2006

Cauda Equina Syndrome After Epidural Steroid Injection: A Case Report

  • Ayten Bilir, MD

      Affiliations

    • Assistant Professor of Anaesthesiology and Reanimation, Osmangazi University Medical Faculty, Eskisehir, Turkey
    • Corresponding Author InformationSubmit requests for reprints to: Ayten Bilir, MD, Department of Anaesthesiology and Reanimation, Osmangazi University Medical Faculty, 26100 Eskişehir, Turkey.
    • ,
  • Sacit Gulec, MD

      Affiliations

    • Professor of Anaesthesiology and Reanimation, Osmangazi University Medical Faculty, Eskisehir, Turkey

Received 1 March 2006 ,Revised 27 April 2006

References 

  1. Aspegren DD, Wright RE, Hemler DE. Manipulation under epidural anesthesia with corticosteroid injection: two case reports. J Manipulative Physiol Ther. 1997;20:618–621
  2. Tripathi M, Nath SS, Gupta RK. Paraplegia after intracord injection during attempted epidural steroid injection in an awake-patient. Anesth Analg. 2005;101:1209–1211
  3. Drasner K, Rigler MR, Sesler DI, Stoller M. Cauda equina syndrome following intended epidural anesthesia. Anesthesiology. 1992;7:582–585
  4. Cheng ACK. Intended epidural anesthesia as possible cause of cauda equina syndrome. Anesth Analg. 1994;78:157–159
  5. Rigler ML, Drasner K, Krejcie TC, et al. Cauda equina syndrome after continuous spinal anesthesia. Anesth Analg. 1991;72:275–281
  6. Schneider M, Ettlin T, Kaufmann M, et al. Transient neurologic toxicity after hyperbaric subarachnoid anesthesia with 5% lidocaine. Anesth Analg. 1993;76:1154–1157
  7. Markey JR, Naseer OB, Bird DJ, Rabito SF, Winnie AP. Transient neurologic symptoms after epidural analgesia. Anesth Analg. 2000;90:437–439
  8. Abraham SE, Marsala M, Yaksh TL. Analgesic and neurotoxic effects of intrathecal corticosteroids in rats. Anesthesiology. 1994;81:1198–1205
  9. Hodgson PS, Neal JM, Pollock JE, Liu SS. The neurotoxicity of drugs given intratechally. Anesth Analg. 1999;88:797–809
  10. McLain GR, Fry M, Hecht ST. Transient paralysis with epidural steroid injection. J Spinal Disord. 1997;10:441–444

PII: S0161-4754(06)00159-X

doi: 10.1016/j.jmpt.2006.06.005

Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 6 , Pages 492.e1-492.e3 , July 2006

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