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Case report : Lower extremity neuropathy after combined epidural and general anesthesia |
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| รหัสดีโอไอ | |
| Creator | Watchari Toni, Napaporn Lodapchai , Jeeraluck Limim |
| Title | Case report : Lower extremity neuropathy after combined epidural and general anesthesia |
| Publisher | Faculty of Medicine,Srinakharinwirot University |
| Publication Year | 2550 |
| Journal Title | Journal of Medicine and Health Sciences |
| Journal Vol. | 14 |
| Journal No. | 1 |
| Page no. | 48-55 |
| Keyword | central neuraxial block, neurological complication, lithotomy position |
| ISSN | 0859-3343 |
| Abstract | Although central neuraxial block has been considered a safe anesthetic technique, therestill exists side effects and complications. One serious concern of central neuraxial block isneurological complications. However not all neurological complications are caused by neuraxialblock. Hence, other etiologies should be investigated before neurological complications can beattributed to neuraxial block anesthesia. We report a case of numbness and motor weaknessafter continuous lumbar epidural anesthesia in a 48-year-old diabetic Thai male who underwentradical cystectomy with ileal conduit under a combination of general anesthesia and continuouslumbar epidural analgesia. Within 30 minutes from the start of surgery, the patient developed mild transient hypotension. The operation lasted 20 hours. During the postoperative period, the patient complained of numbness and motor deficits. An urgent radiography and a magnetic resonance imaging (MRI) were arranged. The results showed mild lateral canal stenosis of left side L5. The patient's symptoms might be attributed to prolonged stretching of the nerves. |
