title: Neurologic dysfunction after major thoracic surgery in a patient with severe arteriosclerotic disease receiving epidural analgesia.
abstract: We present a patient who underwent pulmonary lobectomy with thoracic epidural analgesia and developed postoperative sensory-motor symptoms of the lower limbs. Radiological investigation indicated ischemia of the conus medullaris as the likely cause. The motor deficit disappeared gradually and the patient was mobilizing independently when discharged on postoperative day 21.
authors.affiliation: Service d'Anesthésie, Université Paris Ile-de-France Ouest, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Monsel
authors.forename: Georges
authors.initials: G
authors.lastname: Rodesch
authors.forename: Pierre-Antoine
authors.initials: PA
authors.lastname: Laloë
authors.forename: Guy
authors.initials: G
authors.lastname: Kuhlman
authors.forename: Marc
authors.initials: M
authors.lastname: Fischler
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D015360:Analgesia, Epidural; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001161:Arteriosclerosis; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D012907:Smoking; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*
chemical_list: D000959:Antihypertensive Agents