Partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy in a patient with Crohn's disease - 18/03/17
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Abstract |
Cauda equina syndrome is a serious condition resulting from dysfunction of the lumbosacral nerve roots and characterized by impairment of bladder, bowel, sexual and lower limb functions. We report the case of a 48-year-old woman who had Crohn's disease for more than twenty years. The patient was undergoing immunotherapy with infliximab and developed a partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy (L5–S1) that completely cured her sciatica. A postoperative magnetic resonance imaging examination showed root clumping but no compressive lesion. We discuss a possible relationship between the cauda equina syndrome and the patient's active Crohn's disease, treatment and surgery.
Le texte complet de cet article est disponible en PDF.Keywords : Autoimmune disease, Crohn's disease, Infliximab, Remicade, Minimally invasive microdiscectomy, Cauda equina syndrome
Plan
Vol 63 - N° 1
P. 21-24 - mars 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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