Kaydu Ayhan, Kiliç Ebru Tarikçi, Gökçek Erhan, Kaçar Cem Kivilcim
Department of Anesthesiology, Diyarbakir Selahaddin Eyyubi State Hospital, Istanbul, Turkey.
Department of Anaesthesiology and Reanimation, Health Sciences University, Ümraniye Training and Research Hospital, Istanbul, Turkey.
Anesth Essays Res. 2018 Jan-Mar;12(1):291-293. doi: 10.4103/aer.AER_14_18.
There are no reports for anosmia after caudal epidural steroid injections (CESIs). General anesthesia is among the reasons, but the reports up to date are extremely limited. There are no identifiable factors contributing to anosmia after epidural injection, so it is worth discussing. We present the case of a 50-year-old woman with no previous history of any sensory deficits. She experienced anosmia after CESI that had been performed due to her chronic low back pain and lasted for 4 months. Clinical and imaging studies did not reveal any pathology. After 4 months, the olfactory dysfunction demonstrated a significant improvement. Disorders of the olfactory system are unknown after regional anesthesia. The onset of the dysfunction in correlation with the imaging findings may indicate that anesthetics can affect the olfactory dysfunction. Further studies are needed.
目前尚无尾侧硬膜外类固醇注射（CESIs）后嗅觉丧失的报告。全身麻醉是可能原因之一，但目前的相关报告极为有限。硬膜外注射后导致嗅觉丧失的因素尚不明确，因此值得探讨。我们报告一例50岁女性病例，该患者既往无任何感觉障碍病史。她因慢性腰痛接受CESIs后出现嗅觉丧失，持续了4个月。临床和影像学检查未发现任何病理改变。4个月后，嗅觉功能障碍有显著改善。区域麻醉后嗅觉系统障碍尚不清楚。功能障碍的发生与影像学表现相关，这可能表明麻醉剂会影响嗅觉功能障碍。还需要进一步研究。
