Abstract
A patient with an epidural catheter for postoperative analgesia developed a stroke in association with a hypotensive episode resulting from a bolus of local anesthetic. After undergoing resection for femoral chondrosacroma under epidural anesthesia, the patient received a continuous infusion of epidural morphine for postoperative analgesia. Lidocaine 1% (10 mL in divided doses) was administered through the catheter for breakthrough pain. The patient experienced a hypotensive episode and was noted to have a motor and cortical sensory deficit of the left arm and leg 8 hours after the hypotensive episode. Clinical presentation and subsequent workup were consistent with a watershed infarction. The patient recovered full neurologic function before discharge. Postoperative hypotension from epidural analgesia may be associated with stroke; however, a cause-and-effect relationship usually cannot be established with certainty. Copyright (C) 2000 Elsevier Science Inc.
Original language | English (US) |
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Pages (from-to) | 61-63 |
Number of pages | 3 |
Journal | Journal of Clinical Anesthesia |
Volume | 12 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2000 |
Externally published | Yes |
Keywords
- Analgesia
- Epidural
- Hypotension
- Stroke
- Watershed infarction
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine