Bahattin TUNCALI, Hakan BOYA, Şükrü ARAÇ

Postoperative Neurologic Deficit After Central Neuraxial Anesthesia in a Patient with Preoperative Non-Specific Back Pain

A 65-year-old female patient with preoperative back pain underwent right knee arthroplastyunder combined spinal and epidural anesthesia. At preoperative assessment, her neurologicexamination and lumbar magnetic resonance imaging findings were unremarkable. Five weeksafter discharge, she complained of weakness in her lower extremities and developed fecal andurinary incontinence. A magnetic resonance imaging of the whole spine showed a spinal mass atthe T7-8 level which compressed the spinal cord. Motor and sensory deficits completely resolvedfollowing total removal of the mass. Six months later, she underwent left knee arthroplasty underthe same anesthetic method that had been used for her previous knee arthroplasty

Preoperatif Nonspesifik Sırt Ağrısı Olan Bir Hastada Santral Nöraksiyel Blok Sonrasında Postoperatif Nörolojik Defisit

Preoperatif arka ağrısı olan 65 yaşındaki kadın hasta kombine spinal epidural anestezi altında sağ diz artroplastisine alındı. Preoperatif değerlendirmede nörolojik muayene ve lomber manyetik rezonans görüntüleme bulguları normaldi. Taburcu olduktan 5 hafta sonra, alt ekstremitelerinde güçsüzlük yakınması oldu ve gayta ve idrar kaçırma gelişti. Omurganın manyetik rezonans görüntülemesinde T7-8 düzeyinde omuriliği sıkıştıran bir kitle görüldü. Motor ve duyusal defisit, kitle tamamen çıkarıldıktan sonra tamamen düzeldi. Altı ay sonra önceki diz artroplastisinde kullanılan anestezik yöntemle sol diz artroplastisi uygulandı.

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