Intraspinal hypotension syndrome presents as transient quadriplegia

Br J Neurosurg. 2018 Aug;32(4):453-455. doi: 10.1080/02688697.2016.1244257. Epub 2016 Oct 21.

Abstract

Intracranial hypotension can be a complication of epidural anaesthesia. Pure clinical spinal hypotension manifesting as acute transient quadriplegia following epidural anaesthesia is a severe, life-threatening complication that have not been described before. This complication can be solved with an epidural blood patch; thus, it should be familiar to doctors across all specialities.

Keywords: Intraspinal hypotension syndrome; epidural anaesthesia; intracranial hypotension; quadriplegia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, Epidural / adverse effects
  • Female
  • Humans
  • Hypotension / complications*
  • Hypotension / diagnosis
  • Hypotension / etiology
  • Magnetic Resonance Imaging
  • Quadriplegia / diagnostic imaging
  • Quadriplegia / etiology*
  • Recovery of Function
  • Spinal Diseases / complications*
  • Spinal Diseases / diagnosis
  • Spinal Diseases / etiology
  • Syndrome
  • Treatment Outcome