Paraplegia following spinal anesthesia in a patient with an undiagnosed metastatic spinal tumor

Yih Giun Cherng, I. Yen Chen, Feng Lin Liu, Mao Hsien Wang

研究成果: 雜誌貢獻文章

11 引文 斯高帕斯(Scopus)

摘要

Although extremely rare, paraplegia can be a complication following spinal anesthesia if the patient has a previously unrecognized spinal tumor. We describe a 75-year-old male patient who underwent retrograde ureteroscopic examination under spinal anesthesia. He developed complete paraplegia 24 hours later. Magnetic resonance imaging (MRI) revealed bone metastasis to T10, a vertebral body mass lesion at L3, and an epidural mass at T9-11 with cord compression. The aim of this case report is to highlight the importance of neurological examination of patients undergoing neuraxial block both in the pre-anesthetic interview and postoperative examination in the recovery period. Careful observation of the postoperative course is essential to exclude any possibe neurological complications. If motor and sensory functions do not satisfactorily recover, an MRI examination should be undertaken without delay to determine whether the underlying pathology is treatable or reversible.

原文英語
頁(從 - 到)86-90
頁數5
期刊Acta Anaesthesiologica Taiwanica
46
發行號2
DOIs
出版狀態已發佈 - 六月 2008
對外發佈Yes

    指紋

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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