Anterior spinal artery syndrome as a complication of neuroaxial blocade – successful treatment with prostacyclin (case report)
Authors:
Stibor Bronislav 1; Schwameis Franz 1; Fellner Hermann 2
Authors place of work:
Abteilung für Anästhesie und Intensivmedizin, Landesklinikum Baden, Baden bei Wien, Rakousko
1; Röntgeninstitut, Landesklinikum Baden, Baden bei Wien, Rakousko
2
Published in the journal:
Anest. intenziv. Med., 20, 2009, č. 2, s. 78-83
Category:
Anaesthesiology - Case Report
Summary
The authors report anterior spinal artery syndrome occurring as a complication of neuraxial blocade. They describe the cause and origin of the syndrome, the clinical symptoms, illness trajectory and its successful treatment. The patient, a 66-year-old man, underwent colon resection of a colonoscopically detected carcinoma. The surgery was carried out under general anaesthesia. An epidural catheter at the L2/3 level was placed preoperatively for peri- and postoperative analgesia. The patient was extubated about 8 hours after catheter placement. Later on, total spinal paraplegia was detected corresponding to the level of the catheter placement. The 3D-CT examination excluded an expansive process in the spinal canal area. Treatment with continuously administered epoprostenol was commenced. Epoprostenol is a prostacyclin with powerful anti-aggregating and vasodilator effects. Neurological symptoms totally disappeared within 9 hours of the beginning of epoprostenol administration and restitutio ad integrum was observed.
Keywords:
anterior spinal artery syndrome – neuraxial blocade – epidural catheter – prostacyclin
Zdroje
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Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2009 Číslo 2
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