Raftopoulos C, Koenig S, Joris V, Duprez T
Department of Neurosurgery, University Hospital St-Luc, Avenue Hippocrate, 10, 1200 Brussels, Belgium.
Department of Neurosurgery, University Hospital St-Luc, Avenue Hippocrate, 10, 1200 Brussels, Belgium.
Neurochirurgie. 2017 Mar;63(1):21-24. doi: 10.1016/j.neuchi.2016.10.007. Epub 2017 Mar 9.
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 (L-S) 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.
马尾综合征是一种由腰骶神经根功能障碍引起的严重病症，其特征为膀胱、肠道、性功能及下肢功能受损。我们报告一例48岁女性患者，她患有克罗恩病已逾20年。该患者正在接受英夫利昔单抗免疫治疗，在一次顺利的微创显微椎间盘切除术（腰4 - 骶1）完全治愈其坐骨神经痛后，出现了部分马尾综合征。术后磁共振成像检查显示神经根粘连，但无压迫性病变。我们讨论了马尾综合征与患者活动性克罗恩病、治疗及手术之间可能存在的关系。
