Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
| Autor: | Caius-Mihai Breazu, Calin Mitre, Adrian Bartos, Dana Bartos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.diagnostic_test
business.industry Regional Anaesthesia 030208 emergency & critical care medicine Magnetic resonance imaging Case Report Direct spinal injury Pain management epidural anaesthesia medicine.disease body regions 03 medical and health sciences 0302 clinical medicine Thoracic epidural 030202 anesthesiology Anesthesia Accidental medicine Acute pancreatitis Right lower limb Motor Deficit business Spinal cord injury spinal haematoma |
| Zdroj: | Turkish Journal of Anaesthesiology and Reanimation |
| ISSN: | 2667-6370 2667-677X |
| Popis: | We report a case of spinal cord injury following an attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at the T11-T12 interspace. On the second attempt, dural puncture occurred. The patient did not complain of pain or discomfort during the procedure. Thirty-two hours after the attempted epidural, the patient was found to have motor deficit on her right lower limb. Magnetic resonance imaging showed a spinal haematoma with direct spinal cord injury. Post-laminectomy neurological recovery was slow but progressive. The possible causes for spinal cord injury and spinal haematoma without pain or paraesthesia during the procedure are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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