Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management

We report a case of spinal cord injury following an attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at the T11–T12 interspace. On the second attempt, dural puncture occurred. The patient did not complain of pain or discomfort during...

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Autores principales: Bartos, Adrian, Breazu, Caius-Mihai, Bartos, Dana, Mitre, Calin Iosif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Anaesthesiology and Intensive Care Society 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001809/
https://www.ncbi.nlm.nih.gov/pubmed/32076684
http://dx.doi.org/10.5152/TJAR.2019.15564
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author Bartos, Adrian
Breazu, Caius-Mihai
Bartos, Dana
Mitre, Calin Iosif
author_facet Bartos, Adrian
Breazu, Caius-Mihai
Bartos, Dana
Mitre, Calin Iosif
author_sort Bartos, Adrian
collection PubMed
description We report a case of spinal cord injury following an attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at the T11–T12 interspace. On the second attempt, dural puncture occurred. The patient did not complain of pain or discomfort during the procedure. Thirty-two hours after the attempted epidural, the patient was found to have motor deficit on her right lower limb. Magnetic resonance imaging showed a spinal haematoma with direct spinal cord injury. Post-laminectomy neurological recovery was slow but progressive. The possible causes for spinal cord injury and spinal haematoma without pain or paraesthesia during the procedure are discussed.
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spelling pubmed-70018092020-02-19 Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management Bartos, Adrian Breazu, Caius-Mihai Bartos, Dana Mitre, Calin Iosif Turk J Anaesthesiol Reanim Case Report We report a case of spinal cord injury following an attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at the T11–T12 interspace. On the second attempt, dural puncture occurred. The patient did not complain of pain or discomfort during the procedure. Thirty-two hours after the attempted epidural, the patient was found to have motor deficit on her right lower limb. Magnetic resonance imaging showed a spinal haematoma with direct spinal cord injury. Post-laminectomy neurological recovery was slow but progressive. The possible causes for spinal cord injury and spinal haematoma without pain or paraesthesia during the procedure are discussed. Turkish Anaesthesiology and Intensive Care Society 2020-02 2019-11-18 /pmc/articles/PMC7001809/ /pubmed/32076684 http://dx.doi.org/10.5152/TJAR.2019.15564 Text en © Copyright 2020 by Turkish Anaesthesiology and Intensive Care Society This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Case Report
Bartos, Adrian
Breazu, Caius-Mihai
Bartos, Dana
Mitre, Calin Iosif
Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title_full Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title_fullStr Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title_full_unstemmed Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title_short Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management
title_sort accidental spinal cord injury following an attempted thoracic epidural for acute pancreatitis pain management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001809/
https://www.ncbi.nlm.nih.gov/pubmed/32076684
http://dx.doi.org/10.5152/TJAR.2019.15564
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