Accidental spinal cord injury following an attempted thoracic epidural for acute pancreatitis pain management. [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-15564

Accidental spinal cord injury following an attempted thoracic epidural for acute pancreatitis pain management.

Adrian BARTOS1, Caius-Mihai Breazu1, Dana Bartos2, Calin Iosif Mitre1
1Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca,Romania
2"Octavian Fodor" Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania

We report a case of spinal cord injury following attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at T11-T12 interspace. On second attempt dural puncture occurred. The patient did not complained of pain or discomfort during the procedure. 32 hours after the attempted epidural, the patient was found to have motor deficit on her right lower limb. MRI showed a spinal hematoma with direct spinal cord injury. Post laminectomy neurological recovery was slow but progressive.
The possible causes for spinal cord injury and spinal hematoma without pain or paresthesia during the procedure are discussed.

Keywords: spinal hematoma, epidural anesthesia, direct spinal injury




Corresponding Author: Caius-Mihai Breazu, Romania


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