Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report

Detalhes bibliográficos
Autor(a) principal: Şen,Pelin
Data de Publicação: 2017
Outros Autores: Gültekin,Havva Gül, Caymaz,İsmail, Özel,Ömer, Türköz,Ayda
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Anestesiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000500548
Resumo: Abstract A 68 year-old male patient was hospitalized for radical prostatectomy. He had no abnormal medical history including neurological deficit before the operation. Prior to general anesthesia, an epidural catheter was inserted in the L3-4 interspace for intraoperative and postoperative analgesia. After surgery for nine hours, he developed confusion and flaccid paralysis of bilateral lower extremities occurred. No pathology was detected from cranial computed tomography and diffusion magnetic resonance imaging no pathology was detected. His thoracic/lumbar magnetic resonance imaging. Intraabdominal pressure was shown to be 25 mmHg, and abdominal ultrasonography revealed progression in the inflammation/edema/hematoma in the perirenal region. The Bromage score was back to 1 in the right foot on the 24th hour and in the left foot on the 26th hour. Paraplegia developed in patients after epidural infusion might be caused by potentiated local anesthetic effect due to retroperitoneal hematoma and/or elevated intra-abdominal pressure.
id SBA-1_c2ff4758c480bebd2f8325a174ce2a6f
oai_identifier_str oai:scielo:S0034-70942017000500548
network_acronym_str SBA-1
network_name_str Revista Brasileira de Anestesiologia (Online)
repository_id_str
spelling Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case reportEpidural anesthesiaFlaccid paralysisRetroperitoneal hematomaAbstract A 68 year-old male patient was hospitalized for radical prostatectomy. He had no abnormal medical history including neurological deficit before the operation. Prior to general anesthesia, an epidural catheter was inserted in the L3-4 interspace for intraoperative and postoperative analgesia. After surgery for nine hours, he developed confusion and flaccid paralysis of bilateral lower extremities occurred. No pathology was detected from cranial computed tomography and diffusion magnetic resonance imaging no pathology was detected. His thoracic/lumbar magnetic resonance imaging. Intraabdominal pressure was shown to be 25 mmHg, and abdominal ultrasonography revealed progression in the inflammation/edema/hematoma in the perirenal region. The Bromage score was back to 1 in the right foot on the 24th hour and in the left foot on the 26th hour. Paraplegia developed in patients after epidural infusion might be caused by potentiated local anesthetic effect due to retroperitoneal hematoma and/or elevated intra-abdominal pressure.Sociedade Brasileira de Anestesiologia2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000500548Revista Brasileira de Anestesiologia v.67 n.5 2017reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2016.02.006info:eu-repo/semantics/openAccessŞen,PelinGültekin,Havva GülCaymaz,İsmailÖzel,ÖmerTürköz,Aydaeng2017-09-14T00:00:00Zoai:scielo:S0034-70942017000500548Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2017-09-14T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false
dc.title.none.fl_str_mv Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
title Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
spellingShingle Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
Şen,Pelin
Epidural anesthesia
Flaccid paralysis
Retroperitoneal hematoma
title_short Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
title_full Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
title_fullStr Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
title_full_unstemmed Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
title_sort Sudden motor and sensorial loss due to retroperitoneal hematoma during postoperative periods: a case report
author Şen,Pelin
author_facet Şen,Pelin
Gültekin,Havva Gül
Caymaz,İsmail
Özel,Ömer
Türköz,Ayda
author_role author
author2 Gültekin,Havva Gül
Caymaz,İsmail
Özel,Ömer
Türköz,Ayda
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Şen,Pelin
Gültekin,Havva Gül
Caymaz,İsmail
Özel,Ömer
Türköz,Ayda
dc.subject.por.fl_str_mv Epidural anesthesia
Flaccid paralysis
Retroperitoneal hematoma
topic Epidural anesthesia
Flaccid paralysis
Retroperitoneal hematoma
description Abstract A 68 year-old male patient was hospitalized for radical prostatectomy. He had no abnormal medical history including neurological deficit before the operation. Prior to general anesthesia, an epidural catheter was inserted in the L3-4 interspace for intraoperative and postoperative analgesia. After surgery for nine hours, he developed confusion and flaccid paralysis of bilateral lower extremities occurred. No pathology was detected from cranial computed tomography and diffusion magnetic resonance imaging no pathology was detected. His thoracic/lumbar magnetic resonance imaging. Intraabdominal pressure was shown to be 25 mmHg, and abdominal ultrasonography revealed progression in the inflammation/edema/hematoma in the perirenal region. The Bromage score was back to 1 in the right foot on the 24th hour and in the left foot on the 26th hour. Paraplegia developed in patients after epidural infusion might be caused by potentiated local anesthetic effect due to retroperitoneal hematoma and/or elevated intra-abdominal pressure.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000500548
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000500548
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjane.2016.02.006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
publisher.none.fl_str_mv Sociedade Brasileira de Anestesiologia
dc.source.none.fl_str_mv Revista Brasileira de Anestesiologia v.67 n.5 2017
reponame:Revista Brasileira de Anestesiologia (Online)
instname:Sociedade Brasileira de Anestesiologia (SBA)
instacron:SBA
instname_str Sociedade Brasileira de Anestesiologia (SBA)
instacron_str SBA
institution SBA
reponame_str Revista Brasileira de Anestesiologia (Online)
collection Revista Brasileira de Anestesiologia (Online)
repository.name.fl_str_mv Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)
repository.mail.fl_str_mv ||sba2000@openlink.com.br
_version_ 1752126629522440192

Registros relacionados