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Paraplegia Following Spinal AnesthesiaClinicopathologic Report and Review of Literature
GABRIEL A. SCHWARZ, MD;
JOHN E. BEVILACQUA, MD
Arch Neurol. 1964;10(3):308-321.
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Introduction
Neurologic disturbances following spinal anesthesia are of fortunate infrequency.1 Most of the ones personally observed have been transient or have left minimal neural deficits. Rarely, extensive and permanent damage to the nervous system may occur. Many problems concerning the pathogenesis of the neural complications of spinal anesthesia remain unresolved. In part, this is due to the relative dearth of reported pathologic studies.
The subject of this report was a woman whose paraplegia had been noted immediately after a routine procaine spinal anesthesia for hysterectomy. She survived for almost six months. Arachnoidal, neural, and vascular changes were found at postmortem examination in her cauda equina and the lumbosacral portion of her spinal cord. The pathologic alterations observed in this case and a review of the reported pathologic material in the literature comprise the basis for this presentation.
Report of Case
A 57-year-old white woman had a hysterectomy performed in
. . . [Full Text PDF of this Article]
Author Affiliations
PHILADELPHIA
Department of Neurology, School of Medicine, University of Pennsylvania.
Footnotes
Submitted for publication July 21, 1963; accepted Nov 5.
Read in part before the Philadelphia Neurological Society, April 6, 1962.
Supported partially by Kirby-McCarthy Fund.
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