Neuroaxial anesthesia caused paraplegia: a case report

Authors

  • Luis David Cortés-Badillo Department of Anesthesiology, PEMEX General Hospital, Ciudad del Carmen, Mexico
  • Agustín Reyes-Gutiérrez Department of Anesthesiology, PEMEX General Hospital, Ciudad del Carmen, Mexico
  • Óscar Gómez-Chaccón Department of Anesthesiology, PEMEX General Hospital, Ciudad del Carmen, Mexico
  • Luis David Olivera-León Department of Clinical Research. Center for Clinical Studies. Houston, Texas
  • Elsy Daniela Olivera-León Department of General Medicine. Autonomous University of Campeche, Mexico
  • Juan José Granados-Romero Department of Surgery, Faculty of Medicine, UNAM, CDMX, Mexico
  • Baltazar Barrera-Mera Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico
  • Rodrigo Banegas-Ruiz Department of Traumatology, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • José Juan Vargas-Morales Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico
  • Elvira Barrera-Calva Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico
  • Francisco Fabián Gómez-Mendoza Department of Hand Surgery, Central Military Hospital, CDMX, Mexico
  • Carlos Rubén Baca-Domínguez Department of Hand Surgery and Microsurgery, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
  • Emilio Pérez Ortega Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico
  • Rodrigo A. Mendoza-Aceves Department of Anesthesiology, Angeles del Pedregal Hospital, CDMX, Mexico
  • Mariana del Carmen Radilla-Flores Department of Plastic Surgery, CENIAQ, CDMX, Mexico
  • Nelson Niels Espinosa Queb Department of Plastic Surgery, CENIAQ, CDMX, Mexico
  • Alejandro Ángel Corona Figueroa Department of Plastic Surgery, CENIAQ, CDMX, Mexico
  • Bruno Andrés Salazar Trujillo Department of Plastic Surgery, CENIAQ, CDMX, Mexico
  • Mario Gutiérrez-Hernández Department of Surgery, Central North Hospital PEMEX, CDMX, Mexico
  • Alan Isaac Valderrama-Treviño Department of Surgery, Central North Hospital PEMEX, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20211929

Keywords:

Neuroaxial anesthesia, Paraplegia, Neuraxial block, Neuraxial anesthesia complications, Spinal cord injuries, Non-reversible paraplegia

Abstract

Patients who undergo; anesthesia, neuraxial analgesia, or some type of neuraxial blockage are exposed to multiple complications. 33-year-old male patient, suffers a femur fracture with a long oblique trace causing pain and functional limitation for movements. Surgical resolution is determined using neuraxial block at L2-L3 level, and intravenous sedation. During his postoperative follow-up, a decrease in strength was confirmed in the lower limbs with 0/5 on the Daniels scale, 100% sensitivity without sphincter control, steroids were prescribed along with magnetic resonance imaging and a neurosurgical evaluation was requested. The MRI shows bulging of the fibrous annulus that obliterates the epidural fat and makes contact with the thecal sac in the L5-S1 intervertebral disc level. The neurosurgery service prescribes rehabilitation sessions at home, electrostimulation and neuropathic medications. Patient was discharged with rehabilitation sessions at home and medical treatment. In his last consultation, an evaluation from the psychiatry department was requested for ideas of disability, hopelessness, fantasies of death without a suicide plan related to limitations and loss of functionality. Patient does not return to external follow-up, cannot be located.

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Published

2021-05-27

How to Cite

Cortés-Badillo, L. D., Reyes-Gutiérrez, A., Gómez-Chaccón, Óscar, Olivera-León, L. D., Olivera-León, E. D., Granados-Romero, J. J., Barrera-Mera, B., Banegas-Ruiz, R., Vargas-Morales, J. J., Barrera-Calva, E., Gómez-Mendoza, F. F., Baca-Domínguez, C. R., Pérez Ortega, E., Mendoza-Aceves, R. A., Radilla-Flores, M. del C., Espinosa Queb, N. N., Corona Figueroa, A. Ángel, Salazar Trujillo, B. A., Gutiérrez-Hernández, M., & Valderrama-Treviño, A. I. (2021). Neuroaxial anesthesia caused paraplegia: a case report. International Journal of Research in Medical Sciences, 9(6), 1754–1757. https://doi.org/10.18203/2320-6012.ijrms20211929

Issue

Vol. 9 No. 6 (2021): June 2021

Section

Case Reports
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