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Lumbosacral plexus injury following vaginal delivery with epidural analgesia -A case report-.
MedLine Citation:
PMID:  23459069     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Seil Park; Sung Wook Park; Keon Sik Kim
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Publication Detail:
Type:  Journal Article     Date:  2013-02-15
Journal Detail:
Title:  Korean journal of anesthesiology     Volume:  64     ISSN:  2005-6419     ISO Abbreviation:  Korean J Anesthesiol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-03-05     Completed Date:  2013-03-06     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  101502451     Medline TA:  Korean J Anesthesiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  175-9     Citation Subset:  -    
Affiliation:
Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
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