Cauda equina syndrome after cesarean section
American Journal of Physical Medicine and Rehabilitation, cilt.92, sa.2, ss.179-182, 2013 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 92 Sayı: 2
- Basım Tarihi: 2013
- Doi Numarası: 10.1097/phm.0b013e31826edb03
- Dergi Adı: American Journal of Physical Medicine and Rehabilitation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.179-182
- Anahtar Kelimeler: Cauda Equina Syndrome, Cesarian Section, Spinal, Epidural Anesthesia
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
This report describes a case of cauda equina syndrome possibly caused by arachnoiditis due to levobupivacaine after spinal-epidural anesthesia. A 39-yr-old woman delivered by cesarean section under a combined spinal-epidural anesthesia. After an uneventful procedure and surgery, she complained of weakness in her lower extremities, which increased in a few hours. Neurologic examination revealed severe weakness in both her lower extremities, perianal anesthesia, and absence of muscle stretch reflexes. She was unable to urinate. Magnetic resonance imaging performed immediately revealed entirely normal results; however, gadolinium-enhanced magnetic resonance imaging 10 days later revealed contrast enhancement in the cauda equina fibers concordant with arachnoiditis. The patient was included in an intense rehabilitation program with a diagnosis of cauda equina syndrome and recovered completely in 8 wks. Practitioners should be aware of neurologic complications of spinal-epidural anesthesia. Early detection and treatment of the complication are important to minimize the risk of adverse outcome. Copyright © 2013 by Lippincott Williams & Wilkins.