Epidural cyst with cauda equina syndrome after epidural anesthesia

Abstract

A 40-year-old woman without remarkable medical history received epidural anesthesia for uterine cervix conization. Six hours after the operation, cauda equina syndrome occurred. Magnetic resonance imaging of the spine revealed epidural fluid accumulation around L5, as well as L4/5 herniated intervertebral disc found incidentally. Surgical decompression was performed with H-reflex monitoring. Epidural injection could result in cystic accumulation complicated with cauda equina syndrome.