Neurologic dysfunction after major thoracic surgery in a patient with severe arteriosclerotic disease receiving epidural analgesia.
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.
Monsel
Stéphanie
S
Service d'Anesthésie, Université Paris Ile-de-France Ouest, France.
Rodesch
Georges
G
Laloë
Pierre-Antoine
PA
Kuhlman
Guy
G
Fischler
Marc
M
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*
D000959:Antihypertensive Agents