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CASE REPORT
Year : 2020  |  Volume : 17  |  Issue : 2  |  Page : 61-64

Recurrent cauda equina syndrome due to recurrent disc prolapse at the same previously intervened level


BMH Spine Centre, Calicut, Kerala, Baby Memorial Hospital, Kozhikode, Kerala, India

Correspondence Address:
Suresh S Pillai
Baby Memorial Hospital, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joasis.joasis_1_21

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A 42 year old lady presented with acute onset “recurrent” cauda equina syndrome (CES) as a result of repeated disc prolapse at L4-L5 level on the left side, which was operated 10 years earlier. The patient had a previous successful surgery for cauda equina syndrome at the same level(left sided prolapse) and a symptom free period of 10 years. She presented with acute onset left lower limb radicular pain, inability to walk and void urine. Revision surgery by Posterior decompression and Discectomy L4 - L5 with Instrumented Posterolateral Fusion (PLF) from L3 - L5 were performed. There was intra operative dural tear which was primarily repaired. She regained bowel and bladder control post operatively in 10 days time. She became completely ambulant without any residual deficit. Recurrent cauda equina syndrome due to disc prolapse at the previously prolapsed site after a surgical intervention is not reported in the literature, to the best of our knowledge.


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