title: Paraplegia after thoracotomy under combined general and epidural anesthesia in a child.
abstract: A 9-year-old boy underwent a thoracotomy for excision of his right third rib under combined general and epidural anesthesia for a Ewings sarcoma. Postoperatively, he was found to have a complete T2-3 paraplegia. Permanent paraplegia was described as a rare complication of thoracotomy in adults, and very rarely after epidural analgesia in adults and babies. This was the first report in a child.
authors.affiliation: Department of Anesthesiology, Emma Children's Hospital, Amsterdam, The Netherlands. c.e.allison@amc.uva.nl
authors.forename: C E
authors.initials: CE
authors.lastname: Allison
authors.forename: D C
authors.initials: DC
authors.lastname: Aronson
authors.forename: V G M
authors.initials: VG
authors.lastname: Geukers
authors.forename: R
authors.initials: R
authors.lastname: van den Berg
authors.forename: W S
authors.initials: WS
authors.lastname: Schlack
authors.forename: M W
authors.initials: MW
authors.lastname: Hollmann
mesh_terms: D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D001859:Bone Neoplasms / Q000601:surgery; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D012272:Ribs / Q000601:surgery; D012512:Sarcoma, Ewing / Q000601:surgery; D013908:Thoracotomy / Q000009:adverse effects*; D017211:Treatment Failure