Intradural Herniation of a Thoracic Disc Causing Paraplegia Coincident with Epidural Anesthesia

Matsuura, John A.; Makhoul, Raymond G.; Posner, Marc P.; Smith, J. W. G.; Litwack, Robert S.

doi:10.1213/00000539-199704000-00041

Cited by 11 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general, the causes of paraplegia associated with epidural blockade can be broadly divided into three groups: complications of anaesthesia, surgery and pre‐existing disease [12]. There are various case reports of paraplegia being coincident with epidural anaesthesia while caused by surgical [13, 9] or patient factors [14, 15]. In these cases the differential diagnosis always presents a challenge as indeed happened in this case.…”

Section: Discussionmentioning

confidence: 99%

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

et al. 1999

View full text Add to dashboard Cite

Serious neurological complications of abdominal aortic vascular surgery are rare but devastating for all involved. When epidural blockade is part of the anaesthetic technique such complications may be attributed to needles, catheters or drugs. We present a patient who developed paraplegia following an elective abdominal aortic aneurysm repair. Continuous epidural blockade was part of the anaesthetic technique and postoperative analgesia. In this case the spinal cord damage was explained by ischaemia caused by the aortic surgery. This event has made us aware of a rare complication associated with abdominal aortic surgery and highlighted safety aspects of epidural anaesthesia in such patients.

show abstract

Section: Discussionmentioning

confidence: 99%

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

et al. 1999

View full text Add to dashboard Cite

show abstract

Súbita perda sensitiva e motora devido a hematoma retroperitoneal durante os períodos de pós‐operatório: relato de caso

Sen

Gültekin

Caymaz

et al. 2017

Brazilian Journal of Anesthesiology

View full text Add to dashboard Cite

A 68 year-old male patient was hospitalized for radical prostatectomy. He had no abnormal medical history including neurological deficit before the operation. Prior to general anesthesia, an epidural catheter was inserted in the L3-4 interspace for intraoperative and postoperative analgesia. After surgery for nine hours, he developed confusion and flaccid paralysis of bilateral lower extremities occurred. No pathology was detected from cranial computed tomography and diffusion magnetic resonance imaging no pathology was detected. His thoracic/lumbar magnetic resonance imaging. Intraabdominal pressure was shown to be 25mmHg, and abdominal ultrasonography revealed progression in the inflammation/edema/hematoma in the perirenal region. The Bromage score was back to 1 in the right foot on the 24th hour and in the left foot on the 26th hour. Paraplegia developed in patients after epidural infusion might be caused by potentiated local anesthetic effect due to retroperitoneal hematoma and/or elevated intra-abdominal pressure.

show abstract

Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report

Sen

Gültekin

Caymaz

et al. 2017

Brazilian Journal of Anesthesiology (English Edition)

View full text Add to dashboard Cite

Intradural Herniation of a Thoracic Disc Causing Paraplegia Coincident with Epidural Anesthesia

Cited by 11 publications

References 19 publications

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

Súbita perda sensitiva e motora devido a hematoma retroperitoneal durante os períodos de pós‐operatório: relato de caso

Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report

Contact Info

Product

Resources

About