Paraplegia following Subarachmoid Block
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 12
Abstract
Paraplegia, a serious complication following spinal anaesthesia is associated with significant morbidity and even mortality. Incidence of neurological complications following neuraxial block is between 1/1000 and 1/1,000,000. Neurological disturbances following spinal anaesthesia are less frequent. Most of the observed ones have been transient or have left minimal neural deficits. Rarely extensive and permanent damage to the nervous system may occur. Many problems concerning the pathogenesis of the neural complications of spinal anaesthesia remain unresolved. We are reporting a rare case of paraplegia following spinal anaesthesia given for total abdominal hysterectomy in an ASA physical status II patient. The delay in recovery of sensory and motor loss below T10(paraplegia) may be attributed to the triggering of acute myelitis due to spinal anaesthesia.
Authors and Affiliations
R Varaprasad, K Priyathama Sankar
Keywords
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