Inkomplettes Cauda-Syndrom durch putride Spondylodiscitis mit epiduralem Abszess nach plastischer Operation bei Deszensus des Vaginalstumpfes

Infectious processes can cause a wide range of radicular and myelopathic syndromes. The extent of the neurologic deficits and the time elapsed to surgical decompression are the most important prognostic factors. In turn, prompt intervention requires timely identification of the infectious focus. We describe a 62-year-old woman who developed an acute, incomplete cauda equina syndrome 3 months after abdominal sacrocolpopexy with a GoreTex mesh. Magnetic resonance imaging showed spondylodiscitis with an epidural abscess at the sacral promontory. Immediate surgical evacuation and specific antibiotic therapy were administered.