Persistent neurological deficits after an uncomplicated intrathecal injection of 0.5% hyperbaric bupivacaine (a case series)
Sawsan Aboul-Fotouh, Ahmed El-Shaer, Bahaa Ewees, Ahmed Abdel-Tawab;
Abstract
Persistent neurological impairment following spinal anesthesia with bupivacaine has rarely
been reported. We report three cases of neurological deficits that persisted more than 3 days
after an uncomplicated single intrathecal injection of 0.5% hyperbaric bupivacaine. The first
two cases were female patients 39 and 37 years of age and who had received spinal
anesthesia with bupivacaine to undergo dilatation and curettage and cesarean section,
respectively. The third case was a 22-year-old male patient who received bupivacaine
spinal anesthesia for right knee arthroscopy. MRI indicated no anatomical abnormality in
any of these cases. Bupivacaine neurotoxicity was suggested by the absence of any other
identifiable cause for these neurologic deficits. Corticosteroid was used to manage the
cases, with a diverse outcome in each case.
been reported. We report three cases of neurological deficits that persisted more than 3 days
after an uncomplicated single intrathecal injection of 0.5% hyperbaric bupivacaine. The first
two cases were female patients 39 and 37 years of age and who had received spinal
anesthesia with bupivacaine to undergo dilatation and curettage and cesarean section,
respectively. The third case was a 22-year-old male patient who received bupivacaine
spinal anesthesia for right knee arthroscopy. MRI indicated no anatomical abnormality in
any of these cases. Bupivacaine neurotoxicity was suggested by the absence of any other
identifiable cause for these neurologic deficits. Corticosteroid was used to manage the
cases, with a diverse outcome in each case.
Other data
Title | Persistent neurological deficits after an uncomplicated intrathecal injection of 0.5% hyperbaric bupivacaine (a case series) | Authors | Sawsan Aboul-Fotouh, Ahmed El-Shaer, Bahaa Ewees, Ahmed Abdel-Tawab | Issue Date | 2013 | Publisher | MedKnow | Journal | Ain Shams journal of anesthesiology |
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