Bang-Vojdanovski B, Hannibal H, Eberhardt M
Anaesthesieabteilung,Orthopädische Klinik Kassel.
Anaesthesist. 2002 Dec;51(12):989-92. doi: 10.1007/s00101-002-0412-8.
This is a case report of transient neurologic symptoms (TNS) after spinal anesthesia with 4% hyperbaric mepivacaine,which have not been reported before. The patient was a 44-year-old man with a meniscus lesion who received spinal anesthesia with 80 mg 4% mepivacaine while undergoing knee arthroscopy. A L3-L4 mid-line approach was used with a 26-gauge Quincke needle and a 21-gauge introducer. The local anaesthetic was injected over approximately 30 s with the aperture of the Quincke needle in a cephalad direction. A transient pain syndrome was observed 4 h after spinal anesthesia, which included symmetric pain and/or dysesthesia in the buttocks and posterior thighs appearing 4 h after recovery from the spinal anesthesia and had a duration of 2 days. The patient stated that the pain radiated through the hips, buttocks, and posterior thighs and extended past the buttocks and lower legs. The pain was described as strong and aching,occasionally decreasing when walking around. It responded well to NSAID and resolved spontaneously within 3 days. No other neurologic symptoms or signs were noted.
这是一篇关于使用4%高压甲哌卡因进行脊髓麻醉后出现短暂性神经症状（TNS）的病例报告，此前尚未有相关报道。患者为一名44岁男性，患有半月板损伤，在进行膝关节镜检查时接受了80mg 4%甲哌卡因的脊髓麻醉。采用L3-L4中线入路，使用26号Quincke针和21号导引器。将局部麻醉剂在约30秒内注射完毕，Quincke针的针尖朝头侧方向。脊髓麻醉后4小时观察到一种短暂性疼痛综合征，包括在脊髓麻醉苏醒后4小时出现的臀部和大腿后部对称性疼痛和/或感觉异常，持续时间为2天。患者称疼痛放射至髋部、臀部和大腿后部，并延伸至臀部以下和小腿。疼痛被描述为强烈的酸痛，偶尔在四处走动时会减轻。对非甾体抗炎药反应良好，并在3天内自行缓解。未发现其他神经症状或体征。
