Sacral preservation in cauda equina syndrome from inferior vena cava thrombosis

Case report

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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.

Abbreviations used in this paper: CES = cauda equina syndrome; DVT = deep venous thrombosis; IVC = inferior vena cava; tPA = tissue plasminogen activator.
Article Information

Contributor Notes

Address correspondence to: Adam S. Kanter, M.D., Department of Neurological Surgery, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, Pennsylvania 15238. email: kanter@upmc.edu.

© AANS, except where prohibited by US copyright law.

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