Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report-
A 26 year old, healthy, 41 week primiparous woman received a patient-controlled epidural analgesia (PCEA) and experienced paraplegia 11 hours later after a vaginal delivery. This was thought to be the result of complications from PCEA but there was no specific abnormality on magnetic resonance imagi...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Anesthesiologists
2013-02-01
|
Series: | Korean Journal of Anesthesiology |
Subjects: | |
Online Access: | http://ekja.org/upload/pdf/kjae-64-175.pdf |
id |
doaj-7cce9afa22664ef9aba9986b430aa2cd |
---|---|
record_format |
Article |
spelling |
doaj-7cce9afa22664ef9aba9986b430aa2cd2020-11-25T03:44:33ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-02-0164217517910.4097/kjae.2013.64.2.1757511Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report-Seil Park0Sung Wook Park1Keon Sik Kim2Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea.A 26 year old, healthy, 41 week primiparous woman received a patient-controlled epidural analgesia (PCEA) and experienced paraplegia 11 hours later after a vaginal delivery. This was thought to be the result of complications from PCEA but there was no specific abnormality on magnetic resonance imaging (MRI) of the lumbosacral spine. On an electromyography (EMG) study performed 15 days following delivery, signs of tibial neuropathy were present and peripheral nerve injury during vaginal delivery was suspected. Motor weakness and hypoesthesia of both lower extremities improved rapidly, but a decrease in the desire to urinate or defecate, followed by urinary incontinence and constipation persisted, We suspected the sacral plexus had been severely damaged during vaginal delivery. Seven months later, the patient's conditions improved but had not fully recovered.http://ekja.org/upload/pdf/kjae-64-175.pdfanalgesiaepidurallumbosacral plexusobstetric delivery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seil Park Sung Wook Park Keon Sik Kim |
spellingShingle |
Seil Park Sung Wook Park Keon Sik Kim Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- Korean Journal of Anesthesiology analgesia epidural lumbosacral plexus obstetric delivery |
author_facet |
Seil Park Sung Wook Park Keon Sik Kim |
author_sort |
Seil Park |
title |
Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- |
title_short |
Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- |
title_full |
Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- |
title_fullStr |
Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- |
title_full_unstemmed |
Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report- |
title_sort |
lumbosacral plexus injury following vaginal delivery with epidural analgesia -a case report- |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2013-02-01 |
description |
A 26 year old, healthy, 41 week primiparous woman received a patient-controlled epidural analgesia (PCEA) and experienced paraplegia 11 hours later after a vaginal delivery. This was thought to be the result of complications from PCEA but there was no specific abnormality on magnetic resonance imaging (MRI) of the lumbosacral spine. On an electromyography (EMG) study performed 15 days following delivery, signs of tibial neuropathy were present and peripheral nerve injury during vaginal delivery was suspected. Motor weakness and hypoesthesia of both lower extremities improved rapidly, but a decrease in the desire to urinate or defecate, followed by urinary incontinence and constipation persisted, We suspected the sacral plexus had been severely damaged during vaginal delivery. Seven months later, the patient's conditions improved but had not fully recovered. |
topic |
analgesia epidural lumbosacral plexus obstetric delivery |
url |
http://ekja.org/upload/pdf/kjae-64-175.pdf |
work_keys_str_mv |
AT seilpark lumbosacralplexusinjuryfollowingvaginaldeliverywithepiduralanalgesiaacasereport AT sungwookpark lumbosacralplexusinjuryfollowingvaginaldeliverywithepiduralanalgesiaacasereport AT keonsikkim lumbosacralplexusinjuryfollowingvaginaldeliverywithepiduralanalgesiaacasereport |
_version_ |
1724514256584441856 |