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Monoplegia after Combined Spinal Epidural Anesthesia
Monoplegia after Combined Spinal Epidural Anesthesia
- 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.
- Subjects :
- Adult
Anesthesia, Epidural
Walking stick
medicine.medical_treatment
Neuraxial blockade
Hemiplegia
Anesthesia, Spinal
Fentanyl
Diagnosis, Differential
Varicose Veins
Postoperative Complications
medicine
Humans
Levobupivacaine
Patient-controlled analgesia
business.industry
Monoplegia
Sensory loss
Bupivacaine
Magnetic Resonance Imaging
Anesthesiology and Pain Medicine
Combined spinal epidural
Anesthesia
Anesthetic
Female
business
Vascular Surgical Procedures
medicine.drug
Subjects
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