Cauda Equina Syndrome after Cesarean Section
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Sarifakioglu AB, Yemisci OU, Yalbuzdag SA, Ciftkaya PO, Cosar NS: Cauda equina syndrome after cesarean section. Am J Phys Med Rehabil 2013;92:179-182. 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.
Açıklama
Anahtar Kelimeler
Cauda Equina Syndrome, Cesarian Section, Spinal, Epidural Anesthesia, Spinal-Epidural Anesthesia, Neurological Complications, Regional Anesthesia, Local-Anesthetics, Bupivacaine, Arachnoiditis, Levobupivacaine, Neurotoxicity, Mepivacaine, Ropivacaine
Kaynak
American Journal of Physical Medicine & Rehabilitation
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
92
Sayı
2
