[Transient segmental hyperalgesia following epidural analgesia].
We present a case of transient segmental neurological reaction secondary to administration of local anaesthetics for epidural analgesia in a 42 year-old woman. An epidural catheter was introduced between thoracic intervertebral interspace 9 and 10. The patient received morphine, lidocaine, bupivacaine and ropivacaine. After 14 hours she experienced symptoms with burning intense pain, hyperalgesia with the upper limit just below the chest and the lower limit in the midfemur. The symptoms disappeared after 36 hours.
Anæstesiologisk Afdeling, Universitetshospital, Skejby, Brendstrupgårdsvej 100, Aarhus N. Thomas.birkelund@dadlnet.dk
Thomas
T
Birkelund
Thomas Schacht
TS
Revenfeld
Jytte Frandsen
JF
Møller
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000701:Analgesics, Opioid / Q000009:adverse effects; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine; D002404:Catheterization / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006930:Hyperalgesia / Q000139:chemically induced* / Q000188:drug therapy; D008012:Lidocaine; D009020:Morphine / Q000009:adverse effects; D020258:Neurotoxicity Syndromes / Q000150:complications
D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D009020:Morphine; D008012:Lidocaine; D002045:Bupivacaine