Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor

  • Kim, Sung-Hoon (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Song, Geun-Sung (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Son, Dong-Wuk (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Lee, Sang-Won (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University)
  • Received : 2010.05.10
  • Accepted : 2010.12.21
  • Published : 2010.12.28
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Abstract

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.

Keywords

Acknowledgement

Supported by : Pusan National University

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