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KMID : 1001920100480060544
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Journal of Korean Neurosurgical Society
2010 Volume.48 No. 6 p.544 ~ p.546
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Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor
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Kim Sung-Hoon
Song Geun-Sung
Son Dong-Wuk
Lee Sang-Won
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Abstract
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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.
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KEYWORD
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Spinal epidural anesthesia, Spinal intradural extramedullary tumor
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