{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:03:32Z","timestamp":1780463012453,"version":"3.54.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T00:00:00Z","timestamp":1603324800000},"content-version":"vor","delay-in-days":295,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Caudal epidural sacral injection is one of the most common conservative treatments for chronic low back pain with radiculopathy. Neurological deficit after injection is a rare complication that must be identified and treated properly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We report a case of cauda equina syndrome that persisted until 3 months after injection. A 63-year-old man came to our department with severe lumbar canal stenosis who experienced motor weakness, buttocks numbness and voiding difficulties immediately after injection. His lower extremities improved after 24 h, but his neurogenic bladder problems and perianal numbness still persisted. We collaborated with our interdisciplinary teams to do a rehabilitation program, and the symptoms were alleviated and he fully recovered within three months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with severe stenosis can be best described from magnetic resonance imagery scans, and clinicians should be careful about the risks after injection ranging from transient complications to persistent spinal cord injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.10.100","type":"journal-article","created":{"date-parts":[[2020,10,25]],"date-time":"2020-10-25T10:45:13Z","timestamp":1603622713000},"page":"12-14","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Cauda equina syndrome after caudal epidural sacral injection in severe lumbar spinal stenosis"],"prefix":"10.1097","volume":"77","author":[{"given":"Hastomo Agung","family":"Wibowo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sholahuddin","family":"Rhatomy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20260114","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijsp.2011.10.002","article-title":"Conus medullaris syndrome after epidural steroid injection: case report","volume":"1","author":"Tackla","year":"2012","journal-title":"Int. J. Spine Surg"},{"key":"R2-4-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21037\/amj.2017.01.01","article-title":"Lumbar spinal stenosis: an update on the epidemiology, diagnosis and treatment lumbar spinal stenosis: an update on the epidemiology, diagnosis and treatment","volume":"2","author":"Wu","year":"2017","journal-title":"AME Med. J"},{"key":"R3-4-20260114","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1526-4637.2008.00439.x","article-title":"Neurological deficits after epidural steroid injection: time course, differential diagnoses, management, and prognosis suggested by review of case reports","volume":"9","author":"Bloodworth","year":"2008","journal-title":"Pain Med"},{"key":"R4-4-20260114","doi-asserted-by":"crossref","first-page":"776","DOI":"10.4103\/aer.AER_90_17","article-title":"Unexpected complication after caudal epidural steroid injection: hiccup","volume":"11","author":"Kaydu","year":"2017","journal-title":"Anesth. 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Belg"},{"key":"R8-4-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) Guidelines Riaz","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R9-4-20260114","doi-asserted-by":"crossref","first-page":"5820585","DOI":"10.1097\/00000542-199209000-00025","article-title":"Cauda equina syndrome following intended epidural anesthesia","volume":"77","author":"Drasner","year":"1992","journal-title":"Anesthesiology"},{"key":"R10-4-20260114","doi-asserted-by":"crossref","first-page":"46","DOI":"10.5213\/jkcs.2003.7.1.46","article-title":"Cauda equina syndrome following epidural adhesiolysis in a patient with spinal stenosis","volume":"7","author":"Dh","year":"2003","journal-title":"J. Korean Cont. 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