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Journal of Korean Neurosurgical Society 2010;48(6): 544-546.
doi: https://doi.org/10.3340/jkns.2010.48.6.544
Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor.
Sung Hoon Kim, Geun Sung Song, Dong Wuk Son, Sang Won Lee
Department of Neurosurgery, School of Medicine, Yangsan Pusan National University, Yangsan, Korea. gnsong@pusan.ac.kr
ABSTRACT
Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.
Key Words: Spinal epidural anesthesia; Spinal intradural extramedullary tumor
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