Academic Journal
Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report
| Title: | Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report |
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| Authors: | Satoshi Shimizu |
| Source: | JA Clinical Reports, Vol 8, Iss 1, Pp 1-4 (2022) |
| Publisher Information: | SpringerOpen, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: | Adhesive arachnoiditis, Spinal anesthesia, Neuraxial blockade, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: | Abstract Background Adhesive arachnoiditis has been described as a deteriorating neurological complication after neuraxial blockade; however, few pieces of literatures have reported minor cases that resemble peripheral neuropathy. Case presentation A 29-year-old nulliparous woman underwent an emergent cesarean delivery under spinal anesthesia at the second and third lumbar interspace (L2/3) without any specific concerns. Subsequently, she developed left L5 and sacral first (S1) radiculopathy that persisted for 2 months. Although the neurological findings more likely indicated peripheral neuropathy, magnetic resonance imaging revealed localized adhesive arachnoiditis at the left L5/S1 level. Her symptoms gradually improved and entirely disappeared within 2 months without any particular treatment. Conclusion The neurological symptoms that show a clear tendency to improve spontaneously do not always undergo a detailed workup. Therefore, such minor adhesive arachnoiditis might have occurred more than expected. Imaging such cases might cumulatively further the understanding of its etiology. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2363-9024 |
| Relation: | https://doaj.org/toc/2363-9024 |
| DOI: | 10.1186/s40981-022-00518-3 |
| Access URL: | https://doaj.org/article/f15647da983f4e0097988da8c1a338ad |
| Accession Number: | edsdoj.f15647da983f4e0097988da8c1a338ad |
| Database: | Directory of Open Access Journals |
| ISSN: | 23639024 |
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| DOI: | 10.1186/s40981-022-00518-3 |
| Published in: | JA Clinical Reports |
| Language: | English |