Neurologische postpartale Komplikationen nach geburtshilflicher Periduralanalgesie

Besmer, I.; Schüpfer, G.; Hodel, D.; Jöhr, Martin

doi:10.1007/s001010100221

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2003

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Cited by 10 publications

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“…So wird die Inzidenz von neurologischen Ausfällen durch den Geburtsvorgang selbst mit 1:2.000 bzw. 1:3.000 angegeben [4].…”

Section: Introductionunclassified

Ein ungew�hnlicher Befund nach kombinierter Spinal- und Epiduralan�sthesie zur Sectio caesarea

2003

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An 31-year-old women with a long history of back pain without neurological symptoms underwent a caesarean section during the 36th week of pregnancy with combined spinal-epidural anaesthesia. Indication was the increasingly severe back pain. She delivered a normal healthy boy. On the 3rd day after surgery she developed a discrete sensory cauda equina syndrome on the left side. The interpretation of the magnetic resonance imaging (MRI) was a tumor in the thecal sac extending from the middle of the vertebral body of L-1 to the the superior vertebral plate of L-3. A few days later she underwent a laminectomy under general anaesthesia with resection of an intradural mass adherent to the cauda equina. Pathological review of the surgical specimen revealed a myxopapillary ependymoma WHO grade I. The postoperative course was uncomplicated with preservation of bladder dysfunction but after 4 weeks the bladder function was normalised.

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“…So wird die Inzidenz von neurologischen Ausfällen durch den Geburtsvorgang selbst mit 1:2.000 bzw. 1:3.000 angegeben [4].…”

Section: Introductionunclassified