• Anesthesia and analgesia · Mar 2020

    Case Reports

    Transient paraplegia revealed by intraoperative neurophysiological monitoring: was it caused by the epidural anesthetic or an epidural hematoma?

    • Zoran Rodi, Ivan Štraus, Kata Denić, Vedran Deletis, and David B Vodušek.
    • *Institute of Clinical Neurophysiology, Division of Neurology; Departments of †Traumatology and ‡Anesthesiology, Division of Surgery, University Medical Center, Ljubljana, Slovenia; and §Institute for Neurology and Neurosurgery, Beth Israel Medical Center-Singer Division, New York, New York.
    • Anesth. Analg. 2020 Mar 6; 96 (6): 1785-1788.

    ImplicationsOur case report describes the electrophysiological features associated with the development of a spinal epidural hematoma during surgery of the lumbar spine. It stresses the importance of the evaluation of nonsurgical factors, which can potentially affect intraoperative evoked potentials; in this case, epidural local anesthetic or epidural hematoma.

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