Wu King-Chuen, Chiang Yi-Ying, Lin Bih-Chern, Su Hung-Tai, Poon Kin-Shing, Shen Mei-Ling, Wu Rick Sai-Chuen
Department of Anesthesia, Eda Hospital, Kaohsiung, Taiwan, Republic of China.
Acta Anaesthesiol Taiwan. 2010 Sep;48(3):148-51. doi: 10.1016/S1875-4597(10)60048-3.
A 40-year-old woman without remarkable medical history received epidural anesthesia for uterine cervix conization. Six hours after the operation, cauda equina syndrome occurred. Magnetic resonance imaging of the spine revealed epidural fluid accumulation around L5, as well as L4/5 herniated intervertebral disc found incidentally. Surgical decompression was performed with H-reflex monitoring. Epidural injection could result in cystic accumulation complicated with cauda equina syndrome.
一名无明显病史的40岁女性接受了子宫颈锥切术的硬膜外麻醉。术后6小时，出现马尾综合征。脊柱磁共振成像显示L5周围硬膜外积液，同时偶然发现L4/5椎间盘突出。在H反射监测下进行了手术减压。硬膜外注射可能导致囊性积液并并发马尾综合征。
