Cauda equina syndrome misdiagnosed as aggravated hydrocephalus: neurological complication of intrathecal colistin in post-surgical meningitis.

摘要

We report a man who experienced a cauda equina syndrome secondary to intrathecal (IT) injection of colistimethate sodium (colistin) for the treatment of post-neurosurgical meningitis with multi-drug-resistant (MDR) Acinetobacter baumannii. The patient missed opportune diagnosis due partly to the complexity of clinical circumstances and partly to the lack of previous reports of a cauda equina syndrome as a direct neurological complication of IT colistin.