Turkish Journal of Anaesthesiology & Reanimation
CASE REPORT
Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management

Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management

1.

Department of Surgery, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Cluj- Napoca, Romania

2.

Department of Anesthesiology and Intensive Care Medicine, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, Cluj-Napoca, Romania

3.

University of Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, Romania

Turk J Anaesthesiol Reanim 2020; 48: 71-74
DOI: 10.5152/TJAR.2019.15564
Read: 213 Downloads: 139 Published: 06 December 2019

We report a case of spinal cord injury following an attempted epidural in a conscious woman for pain management in acute pancreatitis. The epidural needle was inserted at the T11–T12 interspace. On the second attempt, dural puncture occurred. The patient did not complain of pain or discomfort during the procedure. Thirty-two hours after the attempted epidural, the patient was found to have motor deficit on her right lower limb. Magnetic resonance imaging showed a spinal haematoma with direct spinal cord injury. Post-laminectomy neurological recovery was slow but progressive. The possible causes for spinal cord injury and spinal haematoma without pain or paraesthesia during the procedure are discussed.

Cite this article as: Bartos A, Breazu CM, Bartos D, Mitre CI. Accidental Spinal Cord Injury Following an Attempted Thoracic Epidural for acute Pancreatitis Pain Management. Turk J Anaesthesiol Reanim 2020; 48(1): 71-4.

Files
EISSN 2667-6370