A Case of Paraplegia Associated with Epidural Anesthesia: A case report / 대한통증학회지
The Korean Journal of Pain
;
: 159-163, 2008.
Article
in Korean
| WPRIM
| ID: wpr-41413
ABSTRACT
Paraplegia is a relatively rare complication of epidural anesthesia. Several possible factors may contribute to the development of paraplegia including arachnoiditis, trauma and ischemia. We experienced a case where paraplegia had developed after epidural anesthesia for cesarean section. So we present the case and consider the possible etiologies. A 30-year-old previously healthy woman was referred to our hospital for postpartum motor weakness of the lower limbs. Six days prior, the patient was admitted at a local obstetric clinic for delivery at 39 weeks gestation. The patient underwent a Cesarean section under epidural anesthesia induced with 20 ml 2% lidocaine and 5 ml 0.5% bupivacaine. In the early morning of the day following the Cesarean section, a motor and sensory deficit in both lower extremities was noted. A lumbar MRI showed diffuse enhancement along the cauda equina and spinal cord surface in the lower lumbar spine, suggesting diffuse arachnoiditis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Arachnoid
/
Arachnoiditis
/
Spinal Cord
/
Spine
/
Bupivacaine
/
Cauda Equina
/
Cesarean Section
/
Lower Extremity
/
Postpartum Period
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
The Korean Journal of Pain
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS