Back to Search Start Over

Monoplegia after Combined Spinal Epidural Anesthesia

Monoplegia after Combined Spinal Epidural Anesthesia

Authors :
Onur Balaban
Kamil Toker
Mine Solak
Alparslan Kuş
Yavuz Gürkan
Source :
Ağrı - The Journal of The Turkish Society of Algology. 25:183-186
Publication Year :
2013
Publisher :
Kare Publishing, 2013.

Abstract

Serious neurological complications after neuraxial block, including permanent neurological injury, are rare in contemporary anesthetic practice. We report a case of a 36 year old female undergoing a venous stripping operation under combined spinal epidural anesthesia (CSE). The CSE procedure was completed after a second attempt at the L4-L5 level and the surgery was completed uneventfully. After full recovery of motor block in the recovery room, the patient was discharged to the surgical ward. Epidural patient controlled analgesia with levobupivacine 0.125% and fentanyl 2 µg/ml was initiated. 10 hours after surgery, right lower limb sensory loss and monoplegia occurred. The epidural catheter was removed and normal MRI findings were noted. After one month of physical therapy treatment and two months follow up the patient was able to walk with the aid of a walking stick. We discuss factors that might have contributed to radiculopathy and neurotoxicity as a cause of neurologic deficit.

Details

ISSN :
13000012
Volume :
25
Database :
OpenAIRE
Journal :
Ağrı - The Journal of The Turkish Society of Algology
Accession number :
edsair.doi.dedup.....49242e71a7e54193b94320ef113305a9
Full Text :
https://doi.org/10.5505/agri.2013.48568