Subdural Spread of Local Anesthetic Mimicking Cerebrovascular Accident: A Case Report of Horner's Syndrome, Upper Limb Paresthesia, and Motor Weakness After Thoracic Epidural Analgesia.
A A Pract
; 18(7): e01812, 2024 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-38958292
ABSTRACT
A 53-year-old woman underwent a thoracic epidural placement for a scheduled laparotomy. Postoperatively the patient had no appreciable epidural level after multiple epidural boluses and was noted to be severely hypotensive with right upper extremity weakness and numbness. She subsequently developed right-sided Horner's syndrome with worsening right upper extremity weakness and decreased sensation from C6 to T1. She regained full motor and sensory function in her right upper extremity with epidural removal. This unusual case raises awareness of the variability in the presentation of subdural spread and provides an example of an epidural complication that can mimic a cerebrovascular accident (CVA).
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Parestesia
/
Analgesia Epidural
/
Síndrome de Horner
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Debilidad Muscular
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Accidente Cerebrovascular
/
Anestésicos Locales
Límite:
Female
/
Humans
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Middle aged
Idioma:
En
Revista:
A A Pract
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos