Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
Neurologic complications following regional anaesthesia are rare with an incidence of 1 in 10,000 cases.[1,2]
We report a case of foot drop following possible needle trauma in a patient who underwent total abdominal hysterectomy under combined spinal-epidural technique
Transverse needle insertion is associated with greater nerve injury than horizontal insertion and is better avoided.2Paraesthesia while performing neuraxial anaesthesia may be due to direct trauma to nerve roots or spinal cord
Summary
Neurologic complications following regional anaesthesia are rare with an incidence of 1 in 10,000 cases.[1,2] If a patient complains of severe pain or paraesthesia while performing regional anaesthesia, neurological deficits in the postoperative period should be anticipated. The patient was asymptomatic and deeply sedated during the procedure She was later placed supine when she complained of some discomfort and breathlessness. Post operatively epidural infusion was stopped and patient was shifted to the recovery room In the recovery, she complained of paraesthesia and weakness of the left leg. An MRI spine was taken which showed swollen conus with abnormal bright signals probably due to oedema She was started on methylprednisolone 1 gm IV once daily for 5 days and gabapentin 100mg 8th hourly to combat the pain. The patient gradually improved and was discharged on postoperative day[11] She continued physiotherapy at home and reported to us at 4 weeks and at 6 months. Other movements were normal and there was no sensory loss
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