Unintentional Epidural Anesthesia Mimicking Cauda Equina Syndrome from Suprafascial Injection of Liposomal Bupivacaine After Lumbar Foraminotomy: A Case Report.

Autor:	Bodendorfer BM; Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, District of Columbia., Shu HT; Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, District of Columbia., Lee CS; Department of Anesthesiology, Georgetown University Medical Center, Washington, District of Columbia., Ivey J; Department of Anesthesiology, Georgetown University Medical Center, Washington, District of Columbia., Mo FF; Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, District of Columbia., Wall RT; Department of Anesthesiology, Georgetown University Medical Center, Washington, District of Columbia.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2020 Apr-Jun; Vol. 10 (2), pp. e19.00605.
DOI:	10.2106/JBJS.CC.19.00605
Abstrakt:	Case: This case report describes a 46-year-old woman undergoing right-sided L5 to S1 decompression who received liposomal bupivacaine (LB) for postoperative analgesia and developed unintentional epidural anesthesia with symptoms mimicking cauda equina syndrome. The patient's symptoms resolved 72 hours postoperatively, approximately the length that LB typically lasts. At the 16-month follow-up, the patient demonstrated complete neurological function with no lower extremity strength or sensation deficits. Conclusions: Tracking of LB into the epidural space after lumbar surgery may cause transient epidural anesthesia with symptoms that mimic cauda equina syndrome.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu