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May 2, 1936

CAUDA EQUINA SYNDROME FOLLOWING SUBARACHNOID ALCOHOL INJECTIONREPORT OF TWO CASES

JAMA. 1936;106(18):1535-1537. doi:10.1001/jama.1936.02770180009003
Abstract

In describing his technic of the subarachnoid injection of alcohol for intractable pain, Dogliotti1 warns against possible sequelae, particularly of injury to the cauda equina. Transient bladder and bowel embarrassment following lumbar sac injection is mentioned by those who are familiar with this procedure. A recent report by Sloane2 described the permanent relief of pain, but sphincteric disturbances which had developed had been persisting for eight months when the report was made.

In the two cases described in this paper, very transient relief was afforded from the pain for which Dogliotti's treatment was used. On the other hand, the bladder disturbances have persisted for over a year in one case and for the entire period of observation (eight months) in the second case. Furthermore, it is of significance that although the lesion produced by the alcohol was unilateral, there nevertheless resulted a profound urinary incontinence.

REPORT OF CASES 

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