Paraplegia Following Epidural Anesthesia: A Case Report
Resource
Journal of Rehabilitation Medicine Association Republic of China v.26 n .4 pp.197-202
Journal
Journal of Rehabilitation Medicine Association Republic of China
Journal Volume
v.26
Journal Issue
n
Pages
197-202
Date Issued
1998
Date
1998
Author(s)
LIN, YU-CHING
WANG, YEN-HO
HUANG, KOU-MOU
HUANG, TIEN-SHANG
Abstract
TP-D AU-Lin YC AU-Wang YH AU-Huang KM AU-Huang TS TI- Paraplegia following epidural anesthesia: a case report SO- Journal of Rehabilitation Medicine Association 1998;26(4): 197-202 This article reports the case of a 36-year-old woman who experienced a sudden sharp pain in her lower back and became paraplegic after epidural anesthesia for a cesarean section. Three months later, the appearance of an ascending sensory level despite motor recovery raised the prssibilite of another lesion causing the new neurologic symptoms. Magnetic resonance imaging revealed arachnoiditis with subarachnoid cysts that severely compressed the thoracic spinal cord. Surgical decompression relieved the neurologic symptoms at first, but the symptoms soon deteriorated due to re-formation of adhesions and probably intrinsic cord damage. Based on our experience, carefully history taking and detailed examination should be emphasized in patients with neurologic symptoms after epidural anesthesia.