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KMID : 0356919960300020234
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Korean Journal of Anesthesiology
1996 Volume.30 No. 2 p.234 ~ p.237
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Cauda Equina Syndrome following Epidural Anesthesia
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박성희
황선익/김윤기/염종훈/신우종
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Abstract
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Neurologic complications associated with epidural anesthesia are rare. We describe a case of a cauda equina syndrome after continuous epidural anesthesia and analgesia for cesarean section. An epidural infusion of 0.15% bupivacaine was done at
2mL/hr by
two-day infusor. She developed lower extremities, buttocks and perineal sensory loss, bladder and bowel dysfunction after removal of epidural catheter, Improvement continued through the hospitalization with almost return to normal bladder
function
before discharge about 1 month after the injury, but fecal incontinence and perineal sensory loss still remained.
Although the mechanism causing such neural injuries are not known, it may be suspected that neurotoxicity is dose-dependent and related to the duration of drug exposure.(Korean J Anesthesiol 1996;30:234~237)
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KEYWORD
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