Vaishali Waindeskar¹, Anuj Jain², Sunaina Tejpal² and Charan Raj³*

¹Professor, Department of Anaesthesiology, AIIMS, Bhopal, India
²Associate Professor, Department of Anaesthesiology AIIMS, Bhopal, India
²Senior Resident, Department of Trauma and Emergency Medicine, AIIMS, Bhopal, India

*Corresponding Author: Charan Raj, Senior Resident, Department of Trauma and Emergency Medicine, AIIMS, Bhopal, India.

Received: October 25, 2021; Published: December 07, 2021

Abstract

  Cauda Equina, though a rare syndrome, but needs immediate intervention to get a successful outcome. Open surgical techniques like microdiscectomy and lumbar disc decompression and laminectomy combined with facetectomy for patients with Cauda Equina Syndrome (CES). General anesthesia requires all these surgical procedures with extensive bone and soft-tissue handling, resulting in spine instability. We presented a case of low back and severe leg pain with neurological deficit. We diagnosed as Cauda Equina Syndrome, managed successfully with Percutaneous Transforaminal Endoscopic Discectomy (PTED) under local anesthesia in the awake and aware patient. This approach avoids complications associated with general anesthesia. Managing such cases with the percutaneous transforaminal endoscopic approach at the upper lumbar level has not been described in the literature.

KeywordsCauda Equina Syndrome; Transforaminal Endoscopy; Disc Herniation; Low

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Citation

Citation: Charan Raj., et al. “Extended Spectrum Use of Percutaneous Transforaminal Endoscopic Decompression for Managing Patient with Cauda Equina Syndrome Due to Upper Lumbar Disc Herniation: A Case Report". Acta Scientific Women's Health 4.1 (2022): 13-16.

Copyright

Copyright: © 2022 Charan Raj., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.