| Conus medullaris injury following both tetracaine and lidocaine spinal anesthesia. | |
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MedLine Citation:
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PMID: 8982894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Multiple reports of cauda equina syndrome and transient radicular nerve root irritation have suggested that lidocaine spinal anesthesia may be responsible. In this case report, a patient with a preexisting diabetic neuropathy received a partial block following a tetracaine spinal, which was followed by a lidocaine spinal. Following block resolution, a new conus medullaris syndrome was diagnosed. Because of the close proximity of the cauda equina and the conus medullaris, differentiation between these syndromes can be difficult. The preexisting diabetic neuropathy may have predisposed this patient to neurologic injury. The choice of a different local anesthetic drug with less neurotoxic potential such as bupivacaine may have prevented this injury. |
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Authors:
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J H Waters; T B Watson; M G Ward |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 8 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 1996 Dec |
Date Detail:
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Created Date: 1997-04-03 Completed Date: 1997-04-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 656-8 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, University of California, Irvine, Orange 92668, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Spinal
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adverse effects* Anesthetics, Local / adverse effects* Bupivacaine / administration & dosage Cauda Equina Circumcision, Male Diabetes Mellitus, Type 1 / complications Diabetic Neuropathies / complications Follow-Up Studies Humans Lidocaine / adverse effects* Male Middle Aged Nerve Block / adverse effects Nerve Compression Syndromes / diagnosis Spinal Cord / drug effects* Spinal Cord Compression / chemically induced* Surgical Procedures, Elective Tetracaine / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 137-58-6/Lidocaine; 2180-92-9/Bupivacaine; 94-24-6/Tetracaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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