| Severe lumbar back pain following epidural injection of local anesthetic for epidural anesthesia. Case report and literature review. | |
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MedLine Citation:
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PMID: 7727332 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R A Beers; P S Thomas; R J Martin; R Gorji |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Regional anesthesia Volume: 20 ISSN: 0146-521X ISO Abbreviation: Reg Anesth Publication Date: 1995 Jan-Feb |
Date Detail:
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Created Date: 1995-05-26 Completed Date: 1995-05-26 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 7707549 Medline TA: Reg Anesth Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 69-74 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, State University of New York Health Science Center, Syracuse 13210, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, Epidural / adverse effects* Anesthetics, Local / adverse effects* Back Pain / chemically induced*, physiopathology Humans Male Mepivacaine / administration & dosage, adverse effects* Pain, Postoperative / chemically induced*, physiopathology Spasm / chemically induced, physiopathology |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 96-88-8/Mepivacaine |
| Comments/Corrections | |
Comment In:
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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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