{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:40:18Z","timestamp":1787071218190,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/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":[[2026,4]]},"abstract":"<jats:p>Cauda equine syndrome (CES) is the very rare complication especially after uneventful neuraxial anesthesia. A woman underwent a combined spinal-epidural anesthesia for cesarean section. Postoperatively 24 hours, she complained of paresthesia of the left leg, urinary retention, and saddle anesthesia. After checking magnetic resonance imaging (MRI), CES was suspicious and medical treatment was initiated. During the 18-month follow-up, though perineal hypoesthesia and paresthesia of the left leg were recovered, urinary and fecal incontinence remained. This case demonstrates that CES may occur even after an uneventful combined spinal-epidural anesthesia (CSEA) in obese patients with subclinical spinal epidural lipomatosis (SEL) and disc herniation.<\/jats:p>","DOI":"10.4103\/sja.sja_822_25","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T07:00:27Z","timestamp":1775199627000},"page":"473-475","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Cauda equina syndrome in an obese parturient following cesarean section under combined spinal\u2013epidural anesthesia"],"prefix":"10.4103","volume":"20","author":[{"given":"Soon S.","family":"Sim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jeju National University Hospital, Jeju-si, Jeju-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ae-Ryoung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine, Jeju-si, Jeju-do, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"111","DOI":"10.2147\/LRA.S186530","article-title":"Obesity and obstetric anesthesia: Current insights","volume":"12","author":"Taylor","year":"2019","journal-title":"Local Reg Anesth"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.ijoa.2014.05.004","article-title":"Anesthetic and obstetric outcomes in morbidly obese parturients: A 20-year follow-up retrospective cohort study","volume":"23","author":"Tonidandel","year":"2014","journal-title":"Int J Obstet Anesth"},{"key":"R3-20260421","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.spinee.2004.05.252","article-title":"Spinal epidural lipomatosis: case reports, literature review and meta-analysis","volume":"5","author":"Fogel","year":"2005","journal-title":"Spine J"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"272","DOI":"10.14245\/kjs.2015.12.4.272","article-title":"Cauda equina syndrome caused by idiopathic epidural lipomatosis","volume":"12","author":"Kim","year":"2015","journal-title":"Korean J Spine"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.spinee.2017.07.177","article-title":"Obesity and spinal epidural lipomatosis in cauda equina syndrome","volume":"18","author":"Cushnie","year":"2018","journal-title":"Spine J"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1302\/0301-620X.94B11.29652","article-title":"Is cauda equina syndrome linked with obesity?","volume":"94","author":"Venkatesan","year":"2012","journal-title":"J Bone Joint Surg Br"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"383","DOI":"10.3109\/02688697.2010.505987","article-title":"Reliability of clinical assessment in diagnosing cauda equina syndrome","volume":"24","author":"Balasubramanian","year":"2010","journal-title":"Br J Neurosurg"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1002\/(SICI)1097-4598(199811)21:11<1398::AID-MUS6>3.0.CO;2-4","article-title":"Body mass index effect on common nerve conduction study measurements","volume":"21","author":"Buschbacher","year":"1998","journal-title":"Muscle Nerve"},{"key":"R9-20260421","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2106\/00004623-199072030-00013","article-title":"Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. 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