Post-operative Microdiscectomy Complicated by Lumbar Epidural Hematoma with Cauda equina Syndrome Following Dual Viral Infection: A Rare Case Report and Its Management

In post-operative microdiscectomy, delayed spontaneous spinal hematoma with cauda equina syndrome having dual viral fever (dengue and chikungunya) with CLL is a rare complication. Failure to recognize can lead to devastating outcomes with permanent neurological impairment. Prompt medical optimization following close clinico-serological monitoring with early surgical evacuation is needed. Early diagnosis with intervention can significantly improve the neurological outcome.