Journals / Meandros Medical And Dental Journal / 2026 / Volume: 18 Issue: 2

Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report

Yasemin Turan(ADNAN MENDERES UNIVERSITY)
Elif Aydın(ADNAN MENDERES UNIVERSITY)
Engin Taştaban(ADNAN MENDERES UNIVERSITY)
Ömer Faruk Şendur(ADNAN MENDERES UNIVERSITY)
Pages
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Publication Date
2017-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It should be kept in mind that serious complications such as cauda equina syndrome, which may considerably affect the patients’ quality of life in a negative way, might develop after an epidural lysis procedure.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Epidural lysis is known to be one of the therapy methods used following an unsuccessful low back surgery.
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Key Findings & Data:A 51-year-old female complaining of lower back pain for six years underwent an epidural lysis procedure at the lumbar 3-4-5 level.
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Conclusion & Impact:It should be kept in mind that serious complications such as cauda equina syndrome, which may considerably affect the patients’ quality of life in a negative way, might develop after an epidural lysis procedure.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Epidural lysis · cauda equina syndrome · rehabilitation

Abstract

Epidural lysis is known to be one of the therapy methods used following an unsuccessful low back surgery. Despite its proven effectiveness, several complications associated with epidural lysis procedure have been reported. The most common complications are dural perforation, breaking of the catheter and infections. Cauda equina syndrome is a rare complication seen after epidural lysis. A 51-year-old female complaining of lower back pain for six years underwent an epidural lysis procedure at the lumbar 3-4-5 level. Following the procedure, the patient was not able to walk due to weakness starting in both lower extremities, besides, she had fecal and urinary incontinence. After being diagnosed with cauda equina syndrome, a rehabilitation program was administered. After three months, the patient was ambulant with a bilateral dynamic carbon fiber ankle foot orthoses and a walker. It should be kept in mind that serious complications such as cauda equina syndrome, which may considerably affect the patients’ quality of life in a negative way, might develop after an epidural lysis procedure.

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Cite This Article

Turan, Y., Yıldırım, C., Aydın, E., Taştaban, E., Şendur, Ö. F. (2017). Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal, Volume: 18 Issue: 2. https://doi.org/10.4274/meandros.2183

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References (10)

  1. Racz GB, Halubec JT. Lysis of adhesions in the epidural space. In: Ray P, Techniques of neurolysis. Boston: Kluwer Academic; 1989: 57-72.
  2. Talu GK, Erdine S. Complications of epidural neuroplasty: a retrospective evaluation. Neuromodulation 2003; 6: 237-47.
  3. Trescot AM, Chopra P, Abdi S, Datta S, Schultz DM. Systematic review of effectiveness and complications of adhesiolysis in the management of chronic spinal pain: an update. Pain Physician 2007; 10: 129-46.
  4. Lee JM, Kim DH, Kim HJ. Cauda equina syndrome following epidural adhesiolysis in a patient with spinal stenosis: A case report. J Korean Pain Soc 2001; 14: 245-8.
  5. Chopra P, Smith HS, Deer TR, Bowman RC. Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications. Pain Physician 2005; 8: 87-100.
  6. Belozer M, Wang G. Epidural Adhesiolysis for the Treatment of Low Back Pain, Health Technology Assessment. Washington State Department of Labor and Industries. 2004.
  7. Kim RC, Porter RW, Choi BH, Kim SW. Myelopathy after the intrathecal administration of hypertonic saline. Neurosurgery 1988; 22: 942-5.
  8. Manchikanti L, Malla Y, Wargo BW, Cash KA, Pampati V, Fellows B. A prospective evaluation of complications of 10,000 fluoroscopically directed epidural injections. Pain Physician 2012; 15: 131-40.
  9. Lucas JT, Ducker TB, Perot PL Jr. Adverse reactions to intrathecal saline injection for control of pain. J Neurosurg 1975; 42: 557-61.
  10. Erdine S, Talu GK. Precautions during epidural neuroplasty. Pain Pract 2002; 2: 308-14.