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KMID : 1155520100050020115
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Anesthesia and Pain Medicine
2010 Volume.5 No. 2 p.115 ~ p.117
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Persistent neurological deficits after intrathecal administration of 0.5% hyperbaric bupivacaine ?A case report?
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Hahm Tae-Soo
Jin Hyun-Seung
Ko Sang-Wook
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Abstract
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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 20?g of fentanyl without difficulty or complications during the procedure.On the second postoperative day, the patient complained of bilateral weakness in his lower extremities. The neurological examination revealed a sensorimotor impairment consistent with cauda equina syndrome.The neurotoxicity of bupivacaine might have been the cause of this neurological deficit.
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KEYWORD
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Bupivacaine, Cauda equina syndrome
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Listed journal information
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