Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 4 Issue 1

Extended Spectrum Use of Percutaneous Transforaminal Endoscopic Decompression for Managing Patient with Cauda Equina Syndrome Due to Upper Lumbar Disc Herniation: A Case Report

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

References

  1. Andersson GB. “Epidemiological features of chronic low-back pain”. Lancet 354 (1999): 581-585.
  2. Hussain SA., et al. “Cauda equina syndrome: outcome and implications for management”. British Journal of Neurosurgery 17 (2003): 164-167.
  3. Hoogland T., et al. “Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases”. Spine 33 (2008): 973-978.
  4. Jha SC., et al. “Percutaneous endoscopic lumbar discectomy for a huge herniated disc causing acute cauda equina syndrome: a case report”. Journal of Medical Investigation 1-2 (2015): 100-102.
  5. Gardner A., et al. “Cauda equina syndrome: A review of the current clinical and medico-legal position”. European Spine Journal5 (2011): 690-697.
  6. Anthony S. “Cauda equina syndrome”. Medical Protection Society UK Casebook 20 (2000): 9-13.
  7. Harrop JS., et al. “Conus medullaris and cauda equine syndrome as a result of traumatic injuries: management principles”. Journal of Neurosurgery Focus 16 (2004): 19-23.
  8. Ahn UM., et al. “Cauda equina syndrome secondary to lumbar disc herniation: a meta-analysis of surgical outcomes”. Spine (Phila Pa 1976)12 (2000): 1515-1522.
  9. Gore S and Yeung A. “The "inside out" transforaminal technique to treat lumbar spinal pain in an awake and aware patient under local anesthesia: results and a review of the literature”. International Journal of Spine Surgery 8 (2014).
  10. Mahesha K. “Percutaneous endoscopic lumbar discectomy: Results of first 100 cases”. Indian Journal of Orthopaedics 1 (2017): 36-42.

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.




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