• Can J Anaesth · Nov 1989

    Case Reports

    Computerized axial tomo-epidurographic and radiographic documentation of unilateral epidural analgesia.

    • A P Boezaart.
    • Department of Anaesthesia, University of the Witwatersrand, Johannesburg Hospital, Republic of South Africa.
    • Can J Anaesth. 1989 Nov 1;36(6):697-700.

    AbstractA 23-year-old primigravid patient who received epidural analgesia for pain of labour presented with persistent, apparently irremediable, unilateral analgesia. Computerized axial tomo-epidurography demonstrated absence of circumferential spread due to lateral placement of the catheter. Transforaminal escape of contrast medium into the paravertebral area had occurred and anterior and posterior midline partitioning of the epidural space was obvious. All the usual measures to promote contralateral analgesia, except re-insertion of the catheter, had been tried without success.

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