title: [Delayed subarachnoid migration of an epidural catheter: a case report].
abstract: We often experience migration of an epidural catheter into an undesirable space. Migration of an epidural catheter into the subarachnoid space is a potentially lethal complication. Although almost all migrations of epidural catheters have been reported to occur at insertion of the catheter, we experienced a case of catheter migration into the subarachnoid space two days after its insertion. The symptoms caused by this migration were motor paralysis in the lower extremities and sensory disturbance of the trunk. Neurological and hemodynamic changes in a patient who is undergoing continuous epidural infusion of local anesthetics should be monitored carefully.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Asahikawa 078-8510.
authors.forename: Tomoki
authors.initials: T
authors.lastname: Sasakawa
authors.forename: Michio
authors.initials: M
authors.lastname: Nagashima
authors.forename: Ichiro
authors.initials: I
authors.lastname: Hamada
authors.forename: Osamu
authors.initials: O
authors.lastname: Takahata
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Sengoku
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fujita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iwasaki
mesh_terms: D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation*; D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation*; D000768:Anesthesia, General; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005548:Foreign-Body Migration / Q000209:etiology*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology; D012678:Sensation Disorders / Q000209:etiology; D013346:Subarachnoid Space; D013997:Time Factors