Tsur Atzmon, Deeb Marina, Goldin Diana, Ohry Avi
Department of Rehabilitation, Galilee Medical Center, Nahariya, Israel.
Reuth Medical & Rehabilitation Center, Tel-Aviv, Israel.
Ortop Traumatol Rehabil. 2019 Oct 31;21(5):379-388.
Traumatic injury to the spinal cord during spinal or epidural anesthesia is usually secondary to either direct needle penetration or intra-neural injection of local anesthetics. Two women were admitted to a rehabilitation department with paraparesis and hypoesthesia after delivery. One had undergone a lower segment cesarean section under spinal anesthesia and the other, a spontaneous delivery under epidural anesthesia. After discharge from the rehabilitation treatment, they both experienced some weakness in the lower limbs. The patho-physiological basis of this complication seems to be either direct damage to the spinal cord by intra-neural injection of local anesthetics, or local ischemia.
脊髓或硬膜外麻醉期间的脊髓创伤通常继发于直接针刺或局部麻醉药的神经内注射。两名女性在分娩后因双下肢轻瘫和感觉减退入住康复科。其中一名在脊髓麻醉下接受了下段剖宫产，另一名在硬膜外麻醉下自然分娩。康复治疗出院后，她们双下肢均出现了一些无力症状。这种并发症的病理生理基础似乎是局部麻醉药神经内注射对脊髓的直接损伤，或局部缺血。
