Neurological deficit following spinal anaesthesia: MRI and CT evidence of spinal cord gas embolism(287 views visite) Tedeschi E, Marano I, Savarese F, Olibet G, Di Salvo E, Brunetti A, Sodano A
Affiliations Affiliazioni: Dept. Biomorphological Funct. Sci., CNR Center for Nuclear Medicine, University Federico II, Naples, Italy Parco Comola-Ricci, I-80122 Naples, Italy Intensive Care Unit, University Federico II, Naples, Italy Dept. of Gen. and Transplant Surgery, University Federico II, Naples, Italy
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Kane, R. E., Neurologic deficits following epidural or spinal anesthesia (1981) Anesth Analg, 60, pp. 150-16
Sklar, E. M. L., Quencer, R. M., Green, B. A., Montalvo, B. M., Donovan-Post, M. J., Complications of epidural anesthesia: MR appearance of abnormalities (1991) Radiology, 181, pp. 549-554
Yuh, W. T. C., Marsh E. E. III, Wang, A. K., MR imaging of spinal cord and vertebral body infarction (1992) AJNR, 13, pp. 145-154
Rengachary, S. S., Examination of the motor and sensory systems and reflexes (1985) Neurosurgery, pp. 122-147. , Wilkins RH, Rengachary SS (eds) McGraw-Hill, New York
Waters, J. H., Watson, T. B., Ward, M. G., Conus medullaris injury following both tetracaine and lidocaine spinal anesthesia (1996) J Clin Anesth, 8, pp. 656-658
Yuen, E. C., Lazyer, R. B., Weitz, S. R., Olney, R. K., Neurologic complications of lumbar epidural anesthesia and analgesia (1995) Neurology, 45, pp. 1795-1801
Ready, L. B., Plumer, M. H., Haschke, R. H., Austin, E., Sumi, S. M., Neurotoxicity of intrathecal local anesthetics in rabbits (1985) Anesthesiology, 63, pp. 364-370
Brown, D. L., Wedel, D. J., Spinal, epidural and caudal anesthesia (1990) Anesthesia, pp. 1401-1425. , Miller R (ed) Churchil Livingstone, New York
Neurological deficit following spinal anaesthesia: MRI and CT evidence of spinal cord gas embolism
A 62-year-old diabetic woman developed permanent neurological deficits in the legs following spinal anaesthesia. MRI showed oedema in the spinal cord and a small intramedullary focus of signal void at the T10 level, with negative density at CT. Intramedullary gas bubbles have not been reported previously among the possible neurological complications of spinal anaesthesia; a combined ischaemic/embolic mechanism is hypothesised.
Neurological deficit following spinal anaesthesia: MRI and CT evidence of spinal cord gas embolism
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