Document Detail

Severe lumbar back pain following epidural injection of local anesthetic for epidural anesthesia. Case report and literature review.
MedLine Citation:
PMID:  7727332     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: An epidural anesthetic was planned for a 75-year-old man scheduled for elective femoral-popliteal bypass grafting. METHODS: Severe and persistent back pain and posterior thigh muscle spasm abruptly began 10 minutes after epidural injection of mepivacaine. RESULTS: Signs of impending or evolving neurologic injury completely resolved shortly thereafter. CONCLUSIONS: The worst case scenarios, epidural hematoma and unintentional epidural injection of an irritant, are discussed along with other differential diagnoses. The literature is reviewed to gain insight into this unusual clinical presentation.
R A Beers; P S Thomas; R J Martin; R Gorji
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  20     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1995 Jan-Feb
Date Detail:
Created Date:  1995-05-26     Completed Date:  1995-05-26     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-74     Citation Subset:  IM    
Department of Anesthesiology, State University of New York Health Science Center, Syracuse 13210, USA.
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MeSH Terms
Anesthesia, Epidural / adverse effects*
Anesthetics, Local / adverse effects*
Back Pain / chemically induced*,  physiopathology
Mepivacaine / administration & dosage,  adverse effects*
Pain, Postoperative / chemically induced*,  physiopathology
Spasm / chemically induced,  physiopathology
Reg. No./Substance:
0/Anesthetics, Local; 96-88-8/Mepivacaine
Comment In:
Reg Anesth. 1995 Nov-Dec;20(6):550   [PMID:  8608083 ]
Reg Anesth. 1995 Sep-Oct;20(5):461-2   [PMID:  8519730 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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