Korean J Anesthesiol.
2000 Oct;39(4):602-605. 10.4097/kjae.2000.39.4.602.
Paraplegia Caused by Caudal Analgesia
- Affiliations
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- 1Department of Anesthesiology, Chungnam National University College of Medicine, Taejon, Korea.
- KMID: 2031624
- DOI: http://doi.org/10.4097/kjae.2000.39.4.602
Abstract
- Caudal analgesia is a widely accepted technique for providing pain relief. However, both permanent and transient neurologic complications, including paraplegia, have been reported. We report on a patient who developed paraplegia following a caudal block for an epidural mass. The cause of the paraplegia was unknown, but possibly spinal angioma may have taken part in the onset and progression of the paralysis. A mechanism is proposed by which the caudal injection may have caused a change in blood flow through the spinal angioma resulting in cord ischemia.
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