Liu Y C, Wu R S, Wong C S
Department of Anaesthesiology, China Medical College Hospital, Taichung, Taiwan.
Anaesth Intensive Care. 2003 Aug;31(4):461-4. doi: 10.1177/0310057X0303100417.
Cauda equina syndrome after regional anaesthesia is a serious and devastating complication. Its occurrence after epidural anaesthesia is rare. We report a 46-year-old male who received epidural anaesthesia for ureterorenoscopic lithotripsy and developed cauda equina syndrome postoperatively. Despite one failed attempt at entering the epidural space with an epidural needle resulting in dural puncture, an epidural catheter was inserted and 20 ml pH adjusted lignocaine 2% with 1:200,000 adrenaline injected via the catheter without untoward event. The possible causes of this complication are discussed. Fortunately, this patient recovered almost completely ten months later.
区域麻醉后发生马尾综合征是一种严重且极具破坏性的并发症。硬膜外麻醉后发生该并发症较为罕见。我们报告一名46岁男性，其因输尿管镜碎石术接受硬膜外麻醉，术后发生了马尾综合征。尽管硬膜外穿刺针一次进入硬膜外间隙失败并导致硬膜穿刺，但仍插入了硬膜外导管，并通过导管注入了20毫升pH值调整后的2%利多卡因加1:200,000肾上腺素，未出现不良事件。文中讨论了该并发症的可能原因。幸运的是，该患者在十个月后几乎完全康复。
