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Cauda equina syndrome caused by the application of duraseal^(TM) in a microlaminectomy surgery:A case report

World Journal of Clinical Cases 2022年第30期10卷 11178-11184页

作者： Kuei-Lin Yeh Szu-Hsien Wu Chiou-Shann Fuh Yi-Hung Huang Chu-Song Chen Shing-Sheng Wu Department of Orthopaedics Ditmanson Medical Foundation Chia-Yi Christian HospitalChia-Yi City 600Taiwan Department of Computer Science and Information Engineering National Taiwan UniversityTaipei 10617Taiwan Department of Long-Term Care and Management WuFeng UniversityChiayi County 621303Taiwan Department of Physical Medicine and Rehabilitation Taipei Veterans General HospitalTaipei 11217Taiwan Department of Orthopaedics Shin Kong Wu-Ho Su Memorial HospitalTaiepi 111Taiwan

BACKGROUND The management of dural tears is *** a massive dura can be repaired with absorbable suture lines,cerebrospinal fluid leakage can be attenuated by dural sealant when an unintended tiny durotomy occurs *** is often used because it can expand to seal *** case emphasizes the need for caution when duraseal is used as high expansion can cause complications following *** SUMMARY A 77-year-old woman presented with L2/3 and L3/4 lateral recess *** underwent microlaminectomy,foraminal decompression,and disk height restoration using an IntraSPINE~? device.A tiny incident durotomy occurred intraoperatively and was sealed using duraseal ^(TM).However,decreased muscle power,urinary incontinence,and absence of anal reflexes were observed *** magnetic resonance imaging revealed fluid collection causing thecal sac indentation and central canal *** exploration revealed that the gel-like duraseal had entrapped the hematoma and,consequently,compressed the thecal sac and nerve *** we removed all duraseal ^(TM) and exposed the nerve root,the patient’s neurological function did not recover *** duraseal expansion must not be *** in neurological status require investigation for cauda equina syndrome due to expansion.

关键词： Cauda equina syndrome duraseal Microlaminectomy Spinal stenosis Case report

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