Transient paraplegia revealed by intraoperative neurophysiological monitoring: was it caused by the epidural anesthetic or an epidural hematoma?
Our case report describes the electrophysiological features associated with the development of a spinal epidural hematoma during surgery of the lumbar spine. It stresses the importance of the evaluation of nonsurgical factors, which can potentially affect intraoperative evoked potentials; in this case, epidural local anesthetic or epidural hematoma.
Rodi
Zoran
Z
*Institute of Clinical Neurophysiology, Division of Neurology; Departments of †Traumatology and ‡Anesthesiology, Division of Surgery, University Medical Center, Ljubljana, Slovenia; and §Institute for Neurology and Neurosurgery, Beth Israel Medical Center-Singer Division, New York, New York.
Štraus
Ivan
I
Denić
Kata
K
Deletis
Vedran
V
Vodušek
David B
DB
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000768:Anesthesia, General / Q000009:adverse effects; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects; D005071:Evoked Potentials / Q000502:physiology; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D006181:H-Reflex / Q000502:physiology; D006407:Hematoma, Epidural, Cranial / Q000150:complications*; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000502:physiology; D016343:Monitoring, Intraoperative; D018482:Muscle, Skeletal / Q000502:physiology; D010264:Paraplegia / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D016103:Spinal Fractures / Q000601:surgery; D013167:Spondylitis, Ankylosing / Q000601:surgery; D013979:Tibial Nerve / Q000502:physiology; D014057:Tomography, X-Ray Computed
D000779:Anesthetics, Local; D002045:Bupivacaine