[medullar adhesive arachnoiditis: a late complication after obstetrical epidural analgesia].
A 30-year-old woman, G3P3, was progressively affected by spastic paraparesis with loss of sensitivity and urinary incontinence due to medullar adhesive arachnoiditis occurring five months after an epidural analgesia for repeat cesarean section. Magnetic resonance imaging showed a voluminous subarachnoid cyst and a septated syringomyelic cavitation attributed to metabisulfite, the preservative of epinephrine and to multiple lidocaine injections through the catheter in the postoperative period. Despite two decompressive neurosurgical operations, the neurological state of the patient continues to worsen.
Ploteau
S
S
Service d'obstétrique et médecine foetale, pavillon mère et enfant, CHU de Nantes, 7, quai Moncousu, 44093 Nantes 1, France.
de Kersaint-Gilly
A
A
Boog
G
G
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D001100:Arachnoiditis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D020336:Paraparesis, Spastic / Q000209:etiology; D011247:Pregnancy; D013447:Sulfites / Q000009:adverse effects; D014549:Urinary Incontinence / Q000209:etiology
D013447:Sulfites; C030981:metabisulfite; D008012:Lidocaine