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題 名 | 硬脊膜外麻醉導致下半身癱瘓:病例報告=Paraplegia Following Epidural Anesthesia: A Case Report |
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作 者 | 林裕晴; 王顏和; 黃國茂; 黃天祥; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 26:4 1998.12[民87.12] |
頁 次 | 頁197-202 |
分類號 | 415.945 |
關鍵詞 | 下半身癱瘓; 蜘蛛膜炎; 硬脊膜外麻醉; 磁振造影; Paraplegia; Arachnoiditis; Epidural anesthesia; Magnetic resonance imaging; MRI; |
語 文 | 中文(Chinese) |
中文摘要 | 本文報告一位因剖腹生產接受硬脊膜外麻醉而導致立即下半身癱瘓的病例,經保 守療法及復健訓練,兩下肢肌力明顯改善,雖有痙攣現象,尚能使用助行器行走。但在病變 三個月後產生新的神經症狀,經磁振造影檢查發現蜘蛛膜炎和蜘蛛膜下腔囊腫,並造成嚴重 的胸髓壓迫。她接受T5-7椎間板切除手術和蜘蛛膜下腔囊腫切除,手術時發現纖維組織黏連 及T5-7 蜘蛛膜下腔囊腫造成嚴重脊髓壓迫。病理報告證實切片檢體為纖維組織及蜘蛛膜。 經過手術後,症狀雖然有所改善,但很快又復發,這是因為黏連再形度成與可能脊髓受損所 致。本病例在接受硬脊膜外麻醉前健康情良好,沒有脊椎手術、受傷、感染或其他可能造成 蜘蛛膜炎的因素。由產生神經症狀和接受硬脊膜外麻醉的對應時間關係,可以推論出蜘蛛膜 炎和蜘蛛膜下腔囊腫是硬脊膜外麻醉所致。病人在第一次手術後神經症狀改善許多,但很快 因黏連再度形成且壓迫脊髓而惡化,這可由第二次的磁振造影檢查影像看出。第二次的手術 後,病人的情況並沒有明顯改善,這可能是因為不可逆的脊髓受傷所致。依此病例的經驗, 我們建議在處理硬脊膜外麻醉後出現神經症狀的患者時,應仔細詢問其病史並詳細檢查,以 便儘早作出正確診斷和適當處置。 |
英文摘要 | This article reports the case of a 36-year-old woman who experienced a sudden sharp pain in her lower back and became paraplegic after epidural anesthesia for a cesarean section. Three months later. the appearance of an ascending sensory level despite motor recovery raised the prssibilite of another lesion causing the new neurologic symptoms. Magnetic resonance imaging revealed arachnoiditis with subarachnoid cysts that severely compressed the thoracic spinal cord. Surgical decompression relieved the neurologic symptoms at first, but the symptoms soon deteriorated due to re-formation of adhesions and probably intrinsic cord damage. Based on our experience, carefully history taking and detailed examination should be emphasized in patients with neurologic symptoms after epidural anesthesia. |
本系統中英文摘要資訊取自各篇刊載內容。