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Topics - neelam nalge

Regional Anesthesia / Post spinal limb weakness.
June 20, 2009, 05:54:45 PM
      I would like to share this case.40 years old average built ASA Grade 1 female for vaginal hysterectomy.spinal given in sitting position with 26G needle .L4-5 spacemidline.single attempt .4 cc of 0.5% heavy bupivacaine.Level T8.Lithtomy after 10 duration 2 hours.intraop uneventful.vitals stable.I/o satisfactory.
               2 days after surgery pt c/o inability to stand,knee weakness,tingling numbness in rt leg.surgeon started with vit B inj & gave a call.I went to see the pt then she was having difficuty in getting up from sitting position,but once up was able to walk.C/o of tingling numbness on lateral side of right knee & sole of right foot.Other limb NAD.o/e examination reduce touch sensation on rt.sole.pain temp Normal..All other dermatomes NAD.????????????????.culprit....I think lithtomy position.Any advise ,help, similar experience.