Gadolinium enhancement of cauda equina after combined spinal-epidural anaesthesia.
The occurrence of neurological symptoms after spinal anaesthesia has been reported with several local anaesthetics including lidocaine, prilocaine, mepivacaine, tetracaine and bupivacaine. Although hyperbaric bupivacaine is known to induce neurological symptoms less frequently than lidocaine, a few cases of cauda equina syndrome (CES) following the intraspinal injection of bupivacaine have been reported in the English literature. We describe lumbar MRI findings for a 29-year-old woman presenting with CES after caesarean section.
Takasu
M
M
Department of Radiology, Hiroshima Red Cross Hospital, 1-9-6, Sendamachi, Nakaku, Hiroshimashi 730-8619, Japan. my-takasu@syd.odn.ne.jp
Okita
M
M
Araki
T
T
Tanitame
N
N
Tamura
A
A
Suwaki
N
N
Ito
K
K
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D005682:Gadolinium; D006801:Humans; D010523:Peripheral Nervous System Diseases / Q000000981:diagnostic imaging*; D011128:Polyradiculopathy / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011877:Radionuclide Imaging
D000779:Anesthetics, Local; D005682:Gadolinium; D002045:Bupivacaine