Unintentional Epidural Anesthesia Mimicking Cauda Equina Syndrome from Suprafascial Injection of Liposomal Bupivacaine After Lumbar Foraminotomy
| Autor: | Jessica Ivey, Blake M. Bodendorfer, Russell T. Wall, Henry T. Shu, Fred F. Mo, Catherine S. Lee |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Decompression medicine.medical_treatment Neurological function Cauda equina syndrome Cauda Equina Syndrome Diagnosis Differential Hypesthesia Postoperative Complications Lumbar Foraminotomy Lumbar surgery medicine Humans Orthopedics and Sports Medicine Anesthetics Local Radiculopathy business.industry Middle Aged Liposomal Bupivacaine medicine.disease Bupivacaine Epidural space medicine.anatomical_structure Anesthesia Female Surgery business |
| Zdroj: | JBJS Case Connector. 10:e19.00605-e19.00605 |
| ISSN: | 2160-3251 |
| Popis: | 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: | OpenAIRE |
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