Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine
Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine
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DOI：
10.1213/01.ane.0000216037.69269.60
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发表时间：
2006-06-01
影响因子：
5.7
通讯作者：
Traore, Thomas Jeannette
中科院分区：
文献类型：
--
作者：
Moussa, Traore;Abdoulaye, Diallo;Traore, Thomas Jeannette
一位33岁男性患者在接受肛门直肠手术时，在单次注射等比重布比卡因脊髓麻醉后出现马尾神经综合征和双侧极重度听力损失。穿刺时无疼痛。神经功能评估发现会阴区针刺感觉受损，下肢瘫痪，肠和膀胱失禁。此外，他患上了涉及低频的双侧深度听力损失，左侧比右侧受影响更大。虽然听力障碍可发生脑脊液漏，马尾综合征的病因是不确定的。这些事件的同时发生以前没有报告。
A 33-yr-old man undergoing anorectal surgery developed cauda equina syndrome and bilateral profound hearing loss after single-injection spinal anesthesia with isobaric bupivacaine. There was no pain on needle placement. Neurologic assessment found impaired sensation to pinprick in the perineal region, lower extremity paralysis, and bowel and bladder incontinence. In addition, he developed a bilateral profound hearing loss involving the low frequencies, with the left side more affected than the right side. Although hearing impairment can occur with cerebrospinal fluid leakage, the etiology of cauda equina syndrome is uncertain. The simultaneous occurrence of these events has not been previously reported.