Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor.
10.3340/jkns.2010.48.6.544
- Author:
Sung Hoon KIM
1
;
Geun Sung SONG
;
Dong Wuk SON
;
Sang Won LEE
Author Information
1. Department of Neurosurgery, School of Medicine, Yangsan Pusan National University, Yangsan, Korea. gnsong@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Spinal epidural anesthesia;
Spinal intradural extramedullary tumor
- MeSH:
Aged;
Anesthesia, Epidural;
Female;
Humans;
Hypesthesia;
Knee;
Magnetic Resonance Spectroscopy;
Neurologic Manifestations;
Osteoarthritis;
Paraplegia;
Recovery Room;
Spine
- From:Journal of Korean Neurosurgical Society
2010;48(6):544-546
- CountryRepublic of Korea
- Language:English
-
Abstract:
Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.
