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Neurologic dysfunction after major thoracic surgery in a patient with severe arteriosclerotic disease receiving epidural analgesia.

Monsel S, Rodesch G, Laloë PA, Kuhlman G, Fischler M

Service d'Anesthésie, Université Paris Ile-de-France Ouest, France.

We present a patient who underwent pulmonary lobectomy with thoracic epidural analgesia and developed postoperative sensory-motor symptoms of the lower limbs. Radiological investigation indicated ischemia of the conus medullaris as the likely cause. The motor deficit disappeared gradually and the patient was mobilizing independently when discharged on postoperative day 21.

Published 20 December 2006 in Anesth Analg, 104(1): 204-6.
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