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September 10, 2025Journal of Nippon Medical SchoolOpen Access

Possible Role of Local Anesthetics in Permanent Lower Limb Motor Paralysis After Epidural Anesthesia: A Case Report

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Authors

IKIchiro KamiyaChiba Hokusou HospitalCKChol KimChiba Hokusou HospitalAKAtsuko KageyamaAzabu University

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Overview

Case report reveals permanent paralysis after epidural anesthesia in a 71-year-old woman, indicating potential risks.

Key Points

  • Permanent bilateral lower limb paralysis developed after epidural anesthesia in a 71-year-old woman, and persisted through treatment.
  • Symptoms were prominent after using ropivacaine and levobupivacaine, and the paralysis gradually resolved during rehabilitation.
  • Postoperative MRI failed to identify spinal cord damage, aligning with potential epidural anesthesia complications.
  • Permanent paralysis suggests central nervous system involvement, indicating serious risks associated with epidural anesthesia.

Cite This Study

Kamiya et al. (2025) studied this question.

synapsesocial.com/papers/68c1d21f54b1d3bfb60f74d8https://doi.org/10.1272/jnms.jnms.2026_93-302
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Also Consider

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

  1. 1Paraplegia Following Intracord Injection During Attempted Epidural Anesthesia Under General Anesthesia1998 · 4 citations
  2. 2Progressive paraplegia after upper thoracic epidural block-related pneumorachis: A case report2024 · 3 citations
  3. 3Unexplained Neurologic Deficit After Uneventful Combined Spinal and Epidural Anesthesia for Cesarean Delivery1997
  4. 4Postoperative Sciatic Neuropathy Following Spinal Anesthesia in a Patient With Severe Lumbar Degenerative Disease: A Case Report2026
  5. 5Flaccid paralysis following subarachnoid block: A diagnostic dilemma2015