Sacral preservation in cauda equina syndrome from inferior vena cava thrombosis: Case report

Alik S. Widge, Nestor D. Tomycz, Adam S. Kanter

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Acute cauda equina syndrome can occur due to a variety of causes. Inferior vena cava (IVC) thrombosis has been reported as the causal source of this phenomenon twice in the relevant literature, both cases of which presented in a form complete with a component of bowel and/or bladder dysfunction. The authors report an atypical case of cauda equina syndrome in a patient in a hypercoagulable state with an extensive IVC thrombosis, resulting in acute paraparesis in the absence of incontinence or perineal anesthesia. An increasing number of prophylactic and/or therapeutic IVC filters placed in the perioperative period should engender an increased clinical suspicion for IVC thrombosis in patients presenting with acute paraparesis.

Original languageEnglish (US)
Pages (from-to)257-259
Number of pages3
JournalJournal of Neurosurgery: Spine
Volume10
Issue number3
DOIs
StatePublished - Mar 2009
Externally publishedYes

Keywords

  • Acute paraparesis
  • Cauda equina syndrome
  • Deep venous thrombosis
  • Vena cava thrombosis

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