[Unusual complication after combined spinal/epidural anaesthesia].
An 31-year-old women with a long history of back pain without neurological symptoms underwent a caesarean section during the 36th week of pregnancy with combined spinal-epidural anaesthesia. Indication was the increasingly severe back pain. She delivered a normal healthy boy. On the 3rd day after surgery she developed a discrete sensory cauda equina syndrome on the left side. The interpretation of the magnetic resonance imaging (MRI) was a tumor in the thecal sac extending from the middle of the vertebral body of L-1 to the the superior vertebral plate of L-3. A few days later she underwent a laminectomy under general anaesthesia with resection of an intradural mass adherent to the cauda equina. Pathological review of the surgical specimen revealed a myxopapillary ependymoma WHO grade I. The postoperative course was uncomplicated with preservation of bladder dysfunction but after 4 weeks the bladder function was normalised.
Leidinger
W
W
Abteilung für Anästhesie und operative Intensivmedizin-Blutdepot, Klinikum Garmisch-Partenkirchen. werner.leidinger@klinikum-gap.de
Meierhofer
J N
JN
Ullrich
V
V
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001416:Back Pain / Q000150:complications / Q000209:etiology / Q000601:surgery; D002585:Cesarean Section; D004806:Ependymoma / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D011128:Polyradiculopathy / Q000503:physiopathology; D011247:Pregnancy; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D001743:Urinary Bladder / Q000503:physiopathology
Ein ungewöhnlicher Befund nach kombinierter Spinal- und Epiduralanästhesie zur Sectio caesarea.