Chemical meningitis and lumbar radiculitis following spinal-epidural anesthesia : a case report

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  • FUKUCHI Kaho
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • UMEHARA Kaoru
    Operating Rooms, Kyusyu University Hospital
  • TOKUDA Kentaro
    Intensive Care Unit, Kyusyu University Hospital
  • YAMAURA Ken
    Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyusyu University

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  • 脊髄くも膜下硬膜外併用麻酔後に両下肢運動感覚障害と膀胱直腸障害をきたし，化学性髄膜炎，腰部神経根炎の診断に至った1症例

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<p>Background : Combined spinal-epidural(CSE)anesthesia is a frequently used technique in surgeries of the lower limbs with very low complication rates, but it can also cause severe neurological damage. We present a case of motor and sensory disturbances in both lower extremities following CSE anesthesia.</p><p>Case presentation : A 46-year-old woman underwent a transpositional acetabulor osteotomy under CSE anesthesia. The patient returned to the ward after successful surgery without any intraoperative anesthetic problems. However, motor and sensory disturbances in both lower limbs became apparent the next day. Based on physical findings, frequent spinal fluid analyses, imaging studies, and nerve conduction velocity tests, chemical meningitis and lumbar radiculitis secondary to local anesthetic administration into the subarachnoid space were diagnosed.</p><p>Conclusion : This is a rare case in which the cause of the neurological disorder following CSE anesthesia was confirmed by careful examination and investigation.</p>

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