Persistent neurological deficits after intrathecal administration of 0.5% hyperbaric bupivacaine: A case report.
- Author:
Tae Soo HAHM
1
;
Justin Sangwook KO
;
Hyun Seung JIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. tshahm@skku.edu
- Publication Type:Case Report
- Keywords:
Bupivacaine;
Cauda equina syndrome
- MeSH:
Aged;
Anesthesia;
Anesthesia, Spinal;
Anesthetics, Local;
Arthroplasty;
Bupivacaine;
Fentanyl;
Humans;
Knee;
Lower Extremity;
Polyradiculopathy
- From:Anesthesia and Pain Medicine
2010;5(2):115-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Persistent neurologic injury is a rare but feared complication of neuroaxial anesthesia. Local anesthetics are believed to be an important cause. A 68-year-old man with an ASA physical status of 2 was scheduled to undergo elective knee arthroplasty. He had no clinical evidence of neurological deficits before the operation. Spinal anesthesia was administered using 10 mg of 0.5% bupivacaine and 20microgram of fentanyl without difficulty or complications during the procedure. On the second postoperative day, the patient complained of bilateral weakness in his lower extremities.
