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Review Case Reports
Partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy in a patient with Crohn's disease.
- C Raftopoulos, S Koenig, V Joris, and T Duprez.
- Department of Neurosurgery, University Hospital St-Luc, Avenue Hippocrate, 10, 1200 Brussels, Belgium. Electronic address: christian.raftopoulos@uclouvain.be.
- Neurochirurgie. 2017 Mar 1; 63 (1): 21-24.
AbstractCauda equina syndrome is a serious condition resulting from dysfunction of the lumbosacral nerve roots and characterized by impairment of bladder, bowel, sexual and lower limb functions. We report the case of a 48-year-old woman who had Crohn's disease for more than twenty years. The patient was undergoing immunotherapy with infliximab and developed a partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy (L5-S1) that completely cured her sciatica. A postoperative magnetic resonance imaging examination showed root clumping but no compressive lesion. We discuss a possible relationship between the cauda equina syndrome and the patient's active Crohn's disease, treatment and surgery.Copyright © 2017 Elsevier Masson SAS. All rights reserved.
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