Cauda Equina Syndrome Following Epidural Anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 786-790, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-87420
ABSTRACT
Severe neurologic complication after epidural anesthesia is very rare. We experinced a case of cauda equina syndrome following epidural anesthesia with 2% lidocaine 20 ml, alkalinized with sodium bicarbonate and 1 200,000 epinephrine added in female patient underwent abdominal hysterectomy. She complained hypoesthesia of buttock, perineum, left leg and weakness of left leg. She also suffered from urinary retension and defecation difficulty and abdominal discomfort 2 days after epidural block. In MRI taken 4 days after block, spinal stenosis (L4-5) and mild disc bulging (L3-4) were noted. She was treated with medication, bladder training and physical therapy and recovered slowly but gradually, finally discharged 2 months after block with mild weakeness of left leg. We suggest the causative factors are the temporary neural compression due to spinal stenosis and the spinal cord ischemia due to vascular spasm because of added epinephrine.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Períneo
/
Polirradiculopatia
/
Espasmo
/
Estenose Espinal
/
Bexiga Urinária
/
Nádegas
/
Imageamento por Ressonância Magnética
/
Epinefrina
/
Cauda Equina
/
Bicarbonato de Sódio
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1998
Tipo de documento:
Artigo
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