A 28-year-old male patient suffering from subacute low back pain and sciatica due to a lumbar disc herniation was referred to a pain centre for lumbar epidural steroid infiltrations. Still, the clinical neurologic picture evolved and a week after the second infiltration, numbness in the perineum emerged, accompanied by erectile dysfunction and a less controllable miction. Ultimately, the diagnosis of a cauda equina syndrome (CES) was made and followed by urgent surgical decompression. Postoperatively, only a diminished sense in the genital region remained. The clinical course of a CES, the radiographic imaging, the understanding of the disease, the importance of patient screening and follow-up, as well as the policy are discussed.
|Translated title of the contribution||Cauda equina syndrome after epidural steroid injections: Complication or natural course of lumbar disc herniation?|
|Number of pages||4|
|Journal||Tijdschrift voor Geneeskunde|
|Publication status||Published - 22 Aug 2012|