脊麻-硬膜外联合麻醉后马尾增强的钆造影。
Gadolinium enhancement of cauda equina after combined spinal-epidural anaesthesia.
机构信息
Department of Radiology, Hiroshima Red Cross Hospital, 1-9-6, Sendamachi, Nakaku, Hiroshimashi 730-8619, Japan.
出版信息
Br J Radiol. 2010 Sep;83(993):e192-4. doi: 10.1259/bjr/32314637.
Abstract
The occurrence of neurological symptoms after spinal anaesthesia has been reported with several local anaesthetics including lidocaine, prilocaine, mepivacaine, tetracaine and bupivacaine. Although hyperbaric bupivacaine is known to induce neurological symptoms less frequently than lidocaine, a few cases of cauda equina syndrome (CES) following the intraspinal injection of bupivacaine have been reported in the English literature. We describe lumbar MRI findings for a 29-year-old woman presenting with CES after caesarean section.
摘要
在使用包括利多卡因、丙胺卡因、甲哌卡因、四卡因和布比卡因在内的几种局部麻醉剂进行椎管内麻醉后，已经有报道称会出现神经系统症状。虽然相较于利多卡因，超比重布比卡因引起神经系统症状的频率较低，但在英文文献中仍有少数几例在椎管内注射布比卡因后发生马尾综合征（CES）的病例报道。我们描述了一位 29 岁女性在剖宫产术后发生 CES 后腰椎 MRI 的结果。
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