Publication Name	World Journal of Clinical Cases
Manuscript ID	78783
Country	Taiwan

Category	Medicine, Research & Experimental
Manuscript Type	Case Report
Article Title	Cauda equina syndrome caused by the application of DuraSealTM in a microlaminectomy surgery: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Kuei-Lin Yeh, Szu-Hsien Wu, Chiou-Shann Fuh, Yi-Hung Huang, Chu-Song Chen and Shing-Sheng Wu
Funding Agency and Grant Number
Corresponding Author	Shing-Sheng Wu, MMed, MSc, Chief Physician, Doctor, Professor, Surgeon, Department of Orthopaedics, Shin Kong Wu-Ho Su Memorial Hospital, No. 95 Wenchang Road, Shilin District, Taipei 111, Taiwan. raysswu@gmail.com
Key Words	Cauda equina syndrome; DuraSeal; Microlaminectomy; Spinal stenosis; Case report
Core Tip	The number of laminectomies is increasing, and incidental durotomy sometimes occurs intraoperatively. One of the approaches to manage dural tears was using sealants such as DuraSealTM. We present the case of a 77-year-old patient who suffered from incidental durotomy with treatment of using DuraSealTM when undergoing spine surgery. Postoperative cauda equina syndrome was noted. Surgical exploration revealed thecal sac and nerve roots compression by entrapped hematoma. Our case highlights the potential catastrophic consequences of over-expansion of dural sealant, and demonstrates that cauda equina syndrome should be considered if neurological symptoms develop following application of DuraSealTM.
Citation	Yeh KL, Wu SH, Fuh CS, Huang YH, Chen CS, Wu SS. Cauda equina syndrome caused by the application of DuraSealTM in a microlaminectomy surgery: A case report. World J Clin Cases 2022; 10(30): 11178-11184

Received	2022-07-15 13:55
Peer-Review Started	2022-07-15 13:55
To Make the First Decision
Return for Revision	2022-08-22 00:05
Revised	2022-08-29 05:11
Second Decision	2022-09-21 03:42
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2022-09-22 03:38
Articles in Press	2022-09-22 03:38
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2022-10-10 03:10

ISSN	2307-8960 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com