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Date Published: 21/04/2022
Abstract Views: 193
Views PDF: 146
DOI: https://doi.org/10.51298/vmj.v511i2.2154
Issue
Vol. 511 No. 2 (2022)
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How to Cite
Đình Toàn, D. ., & Thu Huyền, T. . (2022). UNILATERAL LOWER EXTREMITY PARALYSIS FOLLOWING COMBINED EPIDURAL SPINAL ANESTHESIA IN KNEE SURGERY PATIENTS: A CASE REPORT. Vietnam Medical Journal, 511(2). https://doi.org/10.51298/vmj.v511i2.2154

UNILATERAL LOWER EXTREMITY PARALYSIS FOLLOWING COMBINED EPIDURAL SPINAL ANESTHESIA IN KNEE SURGERY PATIENTS: A CASE REPORT

Dương Đình Toàn1,2,, Trịnh Thu Huyền1,2
1 Hanoi Medical University
2 Vietnam-Germany Friendship Hospital

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Abstract

Serious neurological complications following nerve block, including permanent nerve damage, are rare in the practice of general anesthesia. We report a case of a patient who, after knee surgery, required a combination of spinal and epidural anesthesia. After surgery, the patient was monitored for 4 hours in the recovery room and then transferred to the treatment room, where the epidural analgesia was given with Levobupivacaine 0.1% combined with Fentanyl 2mcg/ml and Adrenalin 1/200.000. Two days after surgery, the patient lost sensation from D12 to the left knee, motor paralysis could not flex the left knee, and the MRI results were normal. The patient is in the rehabilitation phase. We discuss the factors that can lead to the above situation. In addition, we discussed more about the diagnosis of knee osteoarthritis, indications for joint replacement surgery, and changing the surgical situation

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References

1. Altman R.D (1991). Criteria for classification of clinical osteoarthritis. J Rheumatol Suppl, 27, 10-12.
2. Mike D. Van Manen, DO James Nace, DO (2012). Management of Primary Knee Osteoarthritis and Indications for Total Knee Arthroplasty for General Practitioners. JAOA, 112 (11) 709-715
3. Mitsuru Hanada, Masaaki Takahashi (2016). Elevated erythrocyte sedimentation rate and high-sensitivity C-reactive protein in osteoarthritis of the knee: relationship with clinical findings and radiographic severity. Annals of Clinical Biochemistry, 53(5) 548–553
4. Brit Long, MD, Alex Koyfman, MD (2019). Evaluation and Management of Septic Arthritis and its Mimics in the Emergency Department. Western Journal of Emergency Medicine , 20 (2) 331-341