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KMID : 0363120080210020159
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Korean Journal of Pain
2008 Volume.21 No. 2 p.159 ~ p.163
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A Case of Paraplegia Associated with Epidural Anesthesia
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Kim Hyun-Hae
Kim Sung-Hoon
Shin Jin-Woo
Leem Jeong-Gill
Lee Cheong
Kim Doo-Hwan
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Abstract
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Paraplegia is a relatively rare complication of epidural anesthesia. Several possible factors may contribute to the development of paraplegia including arachnoiditis, trauma and ischemia. We experienced a case where paraplegia had developed after epidural anesthesia for cesarean section. So we present the case and consider the possible etiologies. A 30-year-old previously healthy woman was referred to our hospital for postpartum motor weakness of the lower limbs. Six days prior, the patient was admitted at a local obstetric clinic for delivery at 39 weeks gestation. The patient underwent a Cesarean section under epidural anesthesia induced with 20 ml 2% lidocaine and 5 ml 0.5% bupivacaine. In the early morning of the day following the Cesarean section, a motor and sensory deficit in both lower extremities was noted. A lumbar MRI showed diffuse enhancement along the cauda equina and spinal cord surface in the lower lumbar spine, suggesting diffuse arachnoiditis.
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KEYWORD
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arachnoiditis, epidural block
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