2023 Volume 43 Issue 3 Pages 209-214
Background : Combined spinal-epidural(CSE)anesthesia is a frequently used technique in surgeries of the lower limbs with very low complication rates, but it can also cause severe neurological damage. We present a case of motor and sensory disturbances in both lower extremities following CSE anesthesia.
Case presentation : A 46-year-old woman underwent a transpositional acetabulor osteotomy under CSE anesthesia. The patient returned to the ward after successful surgery without any intraoperative anesthetic problems. However, motor and sensory disturbances in both lower limbs became apparent the next day. Based on physical findings, frequent spinal fluid analyses, imaging studies, and nerve conduction velocity tests, chemical meningitis and lumbar radiculitis secondary to local anesthetic administration into the subarachnoid space were diagnosed.
Conclusion : This is a rare case in which the cause of the neurological disorder following CSE anesthesia was confirmed by careful examination and investigation.
