Postoperative paraplegia associated with epidural narcotic administration

Postoperative paraplegia as a result of undiagnosed primitive neuroectodermal tumor, not epidural analgesia.

Postoperative paraplegia is a rare complication after epidural analgesia and often occurs with spinal hematoma or cord injury. We present the case of a 16-year-old girl who suffered from a tumor mass in the neck and abdomen who underwent gynecologic operation. Preoperatively, liver metastasis was found by computed tomography. Pathologic findings revealed that the abdominal mass was an ovarian d...

netherton’s syndrome associated with progressive spastic paraplegia

nethertons syndrome consists of the combination of ichthyosis, eczema, and abnormal hair and presents within the first 10 days of life with erythroderma. other reported features are short stature, mental retardation, and seizures. allergy to nuts and fish is also common amongst patients. mutations in the spink5 gene on 5q are reported in patients with nethertons syndrome. to the best of our kno...

Digital subtraction angiography does not reliably prevent paraplegia associated with lumbar transforaminal epidural steroid injection.

Digital subtraction angiography (DSA) has been touted as a radiologic adjunct to interventional neuraxial procedures where it is imperative to identify vascular compromise during the injection. Transforaminal epidural steroid injections (TFESI) are commonly performed interventions for treating acute and chronic radicular spine pain. We present a case of instantaneous and irreversible paraplegia...

Paraplegia due to spinal epidural haematoma.

Paraplegia caused by spinal epidural abscess.

Two patients with spinal epidural abscess, but with different neurological outcomes, are presented. The pathogenesis, clinical features and current treatment are reviewed. The need for early diagnosis is once again stressed.