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Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis

A 56-year-old woman experienced persistent excruciating pain with peroneal nerve injury in the anterior aspect of the lower leg after knee surgery. In our pain clinic, we diagnosed the patient with complex regional pain syndrome and performed lumbar sympathetic neurolysis (LSN) with absolute alcohol...

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Autores principales: Kim, Minhyun, Kim, Hyuckgoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Riyadh : Armed Forces Hospital 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987630/
https://www.ncbi.nlm.nih.gov/pubmed/36617447
http://dx.doi.org/10.17712/nsj.2023.1.20220055
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author Kim, Minhyun
Kim, Hyuckgoo
author_facet Kim, Minhyun
Kim, Hyuckgoo
author_sort Kim, Minhyun
collection PubMed
description A 56-year-old woman experienced persistent excruciating pain with peroneal nerve injury in the anterior aspect of the lower leg after knee surgery. In our pain clinic, we diagnosed the patient with complex regional pain syndrome and performed lumbar sympathetic neurolysis (LSN) with absolute alcohol at the 3rd lumbar vertebra (L3). After the next follow-up, she complained of continuous dull low back pain, anal dysregulation, and fecal incontinence. We performed magnetic resonance imaging (MRI) to rule out other existing pathologies of back pain. On MRI, the nucleus pulposus was moderately extruded to the central zone with inferior sequestration at L2/3, and moderate central canal stenosis was observed at L2/3. She underwent partial laminectomy with discectomy at L2 level. We were not sure of the cause of disc herniation, but we strongly suspected that LSN at the L3 vertebral level was related to the pathology. Therefore, we discuss this unusual case.
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spelling pubmed-99876302023-03-07 Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis Kim, Minhyun Kim, Hyuckgoo Neurosciences (Riyadh) Case Report A 56-year-old woman experienced persistent excruciating pain with peroneal nerve injury in the anterior aspect of the lower leg after knee surgery. In our pain clinic, we diagnosed the patient with complex regional pain syndrome and performed lumbar sympathetic neurolysis (LSN) with absolute alcohol at the 3rd lumbar vertebra (L3). After the next follow-up, she complained of continuous dull low back pain, anal dysregulation, and fecal incontinence. We performed magnetic resonance imaging (MRI) to rule out other existing pathologies of back pain. On MRI, the nucleus pulposus was moderately extruded to the central zone with inferior sequestration at L2/3, and moderate central canal stenosis was observed at L2/3. She underwent partial laminectomy with discectomy at L2 level. We were not sure of the cause of disc herniation, but we strongly suspected that LSN at the L3 vertebral level was related to the pathology. Therefore, we discuss this unusual case. Riyadh : Armed Forces Hospital 2023-01 /pmc/articles/PMC9987630/ /pubmed/36617447 http://dx.doi.org/10.17712/nsj.2023.1.20220055 Text en Copyright: © Neurosciences https://creativecommons.org/licenses/by-nc/3.0/Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.
spellingShingle Case Report
Kim, Minhyun
Kim, Hyuckgoo
Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title_full Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title_fullStr Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title_full_unstemmed Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title_short Cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
title_sort cauda equina syndrome by extrusion of lumbar disc after lumbar sympathetic neurolysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987630/
https://www.ncbi.nlm.nih.gov/pubmed/36617447
http://dx.doi.org/10.17712/nsj.2023.1.20220055
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