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

TURAN, Yasemin; TAŞTABAN, ENGİN; AYDIN, Elif; ŞENDUR, Ömer Faruk; Kocaman, Canan

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

Yasemin TURAN, (Adnan Menderes University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Aydın, Turkey)

Canan YILDIRIM, (Midyat State Hospital, Clinic of Physical Medicine and Rehabilitation, Mardin, Turkey)

Elif AYDIN, (Adnan Menderes University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Aydın, Turkey)

Engin TAŞTABAN, (Adnan Menderes University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Aydın, Turkey)

Ömer Faruk ŞENDUR (Adnan Menderes University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Aydın, Turkey)

Meandros Medical And Dental Journal

6 0

Yıl: 2017 Cilt: 18 Sayı: 2 Sayfa Aralığı: 144 - 147 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:

Epidural lizis başarısız bel cerrahisi sonrası tedavide uygulanan yöntemlerden biridir. Bu prosedürün bilinen yararlı etkilerinin yanı sıra sonrasında gelişen çeşitli komplikasyonlar da raporlanmıştır. En sık gözlenen komplikasyonlar arasında dural perforasyon, katater kırılması ve enfeksiyonlar sayılmaktadır. Kauda ekina sendromu epidural lizisin nadir bir komplikasyonudur. Altı yıldır bel ağrısı şikayeti olan 51 yaşındaki kadın olgunun, lomber 3-4-5 seviyelerinden epidural lizis işlemi uygulanması sonrasında yürüyememe, her iki alt ekstremitede güçsüzlük, idrar ve gaita inkontinansı şikayetleri gelişmiş. Hasta, kauda ekina sendromu tanısı konularak rehabilitasyon programına alındı. Üç aylık tedavi sonrasında olgu, bilateral karbon fiber ayak-ayak bilek ortezi ve yürüteçle ambulasyonunu sağlar duruma gelmişti. Epidural lizis işleminden sonra kauda ekina sendromu gibi hastanın yaşam kalitesini kötü yönde etkileyebilecek, ciddi komplikasyonların gelişebileceği akılda bulundurulmalıdır.

Anahtar Kelime:

Konular: Diş Hekimliği

Epidural Lizis İşlemi Sonrası Gelişen Kauda Ekina Sendromu Olgu Sunumu

Öz:

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.

Anahtar Kelime:

Konular: Diş Hekimliği

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	TURAN Y, Kocaman C, AYDIN E, TAŞTABAN E, ŞENDUR Ö (2017). Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. , 144 - 147.
Chicago	TURAN Yasemin,Kocaman Canan,AYDIN Elif,TAŞTABAN ENGİN,ŞENDUR Ömer Faruk Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. (2017): 144 - 147.
MLA	TURAN Yasemin,Kocaman Canan,AYDIN Elif,TAŞTABAN ENGİN,ŞENDUR Ömer Faruk Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. , 2017, ss.144 - 147.
AMA	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. . 2017; 144 - 147.
Vancouver	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. . 2017; 144 - 147.
IEEE	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö "Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report." , ss.144 - 147, 2017.
ISNAD	TURAN, Yasemin vd. "Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report". (2017), 144-147.

APA	TURAN Y, Kocaman C, AYDIN E, TAŞTABAN E, ŞENDUR Ö (2017). Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal, 18(2), 144 - 147.
Chicago	TURAN Yasemin,Kocaman Canan,AYDIN Elif,TAŞTABAN ENGİN,ŞENDUR Ömer Faruk Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal 18, no.2 (2017): 144 - 147.
MLA	TURAN Yasemin,Kocaman Canan,AYDIN Elif,TAŞTABAN ENGİN,ŞENDUR Ömer Faruk Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal, vol.18, no.2, 2017, ss.144 - 147.
AMA	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal. 2017; 18(2): 144 - 147.
Vancouver	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report. Meandros Medical And Dental Journal. 2017; 18(2): 144 - 147.
IEEE	TURAN Y,Kocaman C,AYDIN E,TAŞTABAN E,ŞENDUR Ö "Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report." Meandros Medical And Dental Journal, 18, ss.144 - 147, 2017.
ISNAD	TURAN, Yasemin vd. "Cauda Equina Syndrome Following an Epidural Lysis Procedure: A Case Report". Meandros Medical And Dental Journal 18/2 (2017), 144-147.