[Accidental epidural injection of hypertonic sodium chloride solution].
Twenty ml of 20% hypertonic saline were accidentally injected into the epidural space of a 53-year-old man with lumbar backache and sciatica. This resulted in severe thoracolumbar pain, which disappeared after he received by the same route 20 ml of 1% lidocaine and 40 ml distilled water. Three months later, the sciatica had almost all disappeared; there remained no motor deficit. A literature survey helped to explain the signs described. Further cases of accidental epidural injections of other drugs are discussed.
Service d'Anesthésie-Réanimation, Clinique Sainte-Anne, Gourin.
M E
ME
Gentili
K
K
Samii
D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008318:Malpractice; D008875:Middle Aged; D010292:Paresthesia / Q000139:chemically induced*; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage / Q000009:adverse effects*; D012585:Sciatica / Q000188:drug therapy
D012462:Saline Solution, Hypertonic; D008012:Lidocaine
Injection péridurale accidentelle de chlorure de sodium hypertonique.