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Rehabilitation Practice and Science
下半身癱瘓;蜘蛛膜炎;硬脊膜外麻醉;磁振造影;paraplegia;arachnoiditis;epidural anesthesia;magnetic resonance imaging
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Full-Text Articles in Medicine and Health Sciences
Paraplegia Following Epidural Anesthesia: A Casereport, Yu-Ching Lin, Yen-Ho Wang, Kou-Mou Huang, Tien-Shang Huang
Paraplegia Following Epidural Anesthesia: A Casereport, Yu-Ching Lin, Yen-Ho Wang, Kou-Mou Huang, Tien-Shang Huang
Rehabilitation Practice and Science
This article reports the case of a 36-year-old woman who experienced a sudden sharp pain in her lower back and became paraplegic after epidural anesthesia for a cesarean section. Three months later, the appearance of an ascending sensory level despite motor recovery raised the prssibilite of another lesion causing the new neurologic symptoms. Magnetic resonance imaging revealed arachnoiditis with subarachnoid cysts that severely compressed the thoracic spinal cord. Surgical decompression relieved the neurologic symptoms at first, but the symptoms soon deteriorated due to re-formation of adhesions and probably intrinsic cord damage. Based on our experience, carefully history taking and detailed …