Hussain Tosaddeque, Ghosh Indranil, Gerber Christopher, Basu Anindya, Tiwari Mona
Institute of Neurosciences, Kolkata, India.
Advanced Medicare and Research Institute, Kolkata, India.
J Surg Case Rep. 2023 Mar 9;2023(3):rjad081. doi: 10.1093/jscr/rjad081. eCollection 2023 Mar.
Pregnancy and lumbar puncture are rare instances that can precipitate sudden onset paraplegia in patients with otherwise slow-growing intradural tumours. Surgeons and anaesthesiologists should be aware of the etiological factors leading to pregnancy- and delivery-related rapid tumour growth and its complications. Lumbar puncture-related complications leading to acute precipitation of neurological symptoms must be addressed promptly for favourable outcome in such patients. We describe the report of two patients who developed acute onset paraparesis after spinal anaesthesia for caesarean section. Both were found to be having undiagnosed spinal tumours and managed surgically. We recommend urgent MRI in cases of acute onset non-resolving paraparesis in the peripartum period, for timely diagnosis and management of this rare clinical entity.
怀孕和腰椎穿刺是罕见的情况,可促使原本生长缓慢的硬脊膜内肿瘤患者突然发生截瘫。外科医生和麻醉医生应了解导致与怀孕和分娩相关的肿瘤快速生长及其并发症的病因。必须及时处理导致神经症状急性发作的腰椎穿刺相关并发症,以使此类患者获得良好预后。我们报告了两名患者,她们在剖宫产脊髓麻醉后出现急性轻瘫。两人均被发现患有未被诊断的脊柱肿瘤,并接受了手术治疗。我们建议在围产期急性发作且持续不缓解的轻瘫病例中进行紧急磁共振成像(MRI)检查,以便及时诊断和处理这种罕见的临床情况。