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September 10, 2025Regional Anesthesia & Pain Medicine

Paraplegia Following Intracord Injection During Attempted Epidural Anesthesia Under General Anesthesia

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Authors

PBPhilip R. BromageMcGill UniversityJBJonathan L. BenumofUniversity of California San Diego Medical Center

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Implication

Case report highlights permanent paraplegia following epidural anesthesia attempts, suggesting risks of intradural injection.

Key Points

  • Permanent paraplegia occurred immediately following the procedure, with the patient awakening paraparetic at T5 level.
  • MRI showed air bubble in the cord at T10 and spinal cord infarction between T4 and T5 levels, indicating serious complications.
  • Attempts at epidural puncture during general anesthesia were unsuccessful four times before catheter insertion was completed.
  • Intraoperative hypotension episodes were noted, emphasizing the importance of monitoring during such procedures.

Cite This Study

Bromage et al. (1998) studied this question.

synapsesocial.com/papers/68c19ab49b7b07f3a061c96ahttps://doi.org/10.1136/rapm-00115550-199823010-00020
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Possible Role of Local Anesthetics in Permanent Lower Limb Motor Paralysis after Epidural Anesthesia: A Case Report2025
  2. 2Progressive paraplegia after upper thoracic epidural block-related pneumorachis: A case report2024 · 3 citations
  3. 3Acute paraplegia following epidural analgesia: diagnostic pitfalls in distinguishing pneumorrhachis from surgical mass lesions. Illustrative case2026
  4. 4Delayed Aspiration of Cerebrospinal Fluid From a Thoracic Epidural Catheter After Difficult Placement: A Case Report2024 · 1 citations
  5. 5Thoracic Epidural Infusion Complicated by Epidural Compartment Syndrome2003 · 7 citations