Foot drop: an iatrogenic complication of spinal anesthesia

Goyal, Vipin; Mathur, Vijay Prakash

doi:10.1016/j.bjane.2017.09.006

Cited by 2 publications

(3 citation statements)

References 14 publications

(10 reference statements)

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“…A similar case was noted in by Vipin et al foot drop after spinal anesthesia, with no definitive cause was found, and the patient improved gradually over a month. 9 In our case, patient improved over 14 days. The reason of foot drop in our case is a query.…”

Section: Discussionsupporting

confidence: 48%

Foot Drop after Combined Spinal Epidural: A Rare Neurological Complication

Patil¹,

Tiwari²,

Mathkar³

et al. 2019

Journal of Research &Amp; Innovation in Anesthesia

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Neurological deficit post central neuraxial blockade is rare but considered for highest compensation. We present a case of S1 mononeuropathy presented as foot drop after combined spinal epidural. A 30-years-old male with lower limb fracture was posted for plating. Patient was ASA grade I and all his investigations were normal. Combined spinal epidural was planned. The procedure was performed following all standard operating procedures. Surgical procedure was uneventful, epidural catheter was removed 12 hours postoperatively. 24 hours postoperatively foot drop was noted. Patient was evaluated by neurologist. Ankle dorsiflexion power-1/5, extensor hallucis longus and extensor digitorum brevis were weak. MRI spine was done, which was normal. Neurologic impairment after subarachnoid block is rare, but multifactorial. The causes can be divided into iatrogenic or idiopathic. In some cases it could be a coincident to clinical presentation of any other organic disease. Trauma by the needle or catheter are the commonest causes for the neurological deficit. Regular follow-up and supportive treatment is important in these patients. Medicolegal issues is a big worry in such cases.

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Section: Discussionsupporting

confidence: 48%

Foot Drop after Combined Spinal Epidural: A Rare Neurological Complication

Patil¹,

Tiwari²,

Mathkar³

et al. 2019

Journal of Research &Amp; Innovation in Anesthesia

View full text Add to dashboard Cite

show abstract

“…If magnetic resonance imaging(MRI) is normal, nerve conduction and electromyogram (EMG)is required to localize the site of the lesion. 5,8 In our case, EMG was not done as MRI showed conus lesions. The epidural or spinal needle may accidentally touch the nerve roots or injure the spinal cord.…”

Section: Discussionmentioning

confidence: 77%

“…Cauda equina syndrome, spinal cord compression by epidural haematoma, epidural abscess and transient neurological symptoms are other causes of neurological damage. [5][6][7] The orientation of the needle during epidural and spinal needle placement is an important factor in determining the extent of nerve injury. Transverse needle insertion is associated with greater nerve injury than horizontal insertion and is better avoided.…”

Section: Discussionmentioning

confidence: 99%

Foot Drop following Neuraxial Anaesthesia: A Case Report

Puthenveettil

Paul

Rajan

et al. 2021

Sri Lankan J Anaesthesiol

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Neurological complications during neuraxial anaesthesia are rare but if they occur, the consequences are disastrous. In most cases, it is difficult to identify the exact aetiology. For a good recovery, early diagnosis and intervention should be ensured. We report a case of foot drop following possible needle trauma in a patient who underwent total abdominal hysterectomy under combined spinal-epidural technique.

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Foot drop: an iatrogenic complication of spinal anesthesia

Cited by 2 publications

References 14 publications

Foot Drop after Combined Spinal Epidural: A Rare Neurological Complication

Foot Drop after Combined Spinal Epidural: A Rare Neurological Complication

Foot Drop following Neuraxial Anaesthesia: A Case Report

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