Türk Nöroşirürji Dergisi 2015 , Vol 25 , Num 3
Sequestrated Disc Herniation and Cauda Equina Syndrome Observed After Epiduroscopy Guided Annuloplasty: Case Report
Serdal ALBAYRAK1, İbrahim Burak ATCI2, Hakan YILMAZ3, Ömer AYDEN1
1Elazığ Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Elazığ, Türkiye
2İstanbul Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İstanbul, Türkiye
3Şırnak Asker Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Şırnak, Türkiye
Percutaneous laser nucleoplasty and epiduroscopy-guided annuloplasty, which have varying degrees of complications, can be performed for the treatment of protruding lumbar disc herniation that fails to respond medical or physical therapy. A 39-year-old female patient presented to our clinic with low back pain, both leg pain and decrease in urinary sensation. Epiduroscopically-guided annuloplasty under local anesthesia had been performed to the patient one month ago at a private center for to L5-S1 midline protrusion. L5-S1 was sequestrated, and a downmigrated disc fragment appeared on the emergency lumbar magnetic resonance imaging (MRI). The aim of this case report is to present a complication of this procedure which is presented with cauda equina syndrome and sequestrated disc herniation. Anahtar Kelimeler : Epiduroscopically guided annuloplasty, Disc herniation, Cauda equina syndrome