To the Editor: The insertion of an epidural for pain relief in labour was complicated by a dural puncture. During the subsequent infusion the patient complained of numbness over her face. There was no accompanying tinnitus or circumoral numbness and pulse and blood pressure remained within normal limits. On examination an area of numbness, to pain and cold, was confined to the bilateral distrib...

background and importance: disk sequestration can be defined as a herniated disk with perforation of the fibrous ring (or outermost annulus fibrosus) and posterior longitudinal ligament with migration of the disk fragment to the epidural space. even after the introduction of high-resolution magnetic resonance imaging (mri), it is still frequently misinterpreted as neoplastic masses. unfortunate...

The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management was given including high flow oxygenation therapy and spontaneous reabsorption of air was noted fi...

introduction spontaneous spinal epidural hematoma (sseh) is an uncommon but potentially fatal condition. the increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of sseh. the symptoms of sseh usually begin with sudden severe neck or back pain and are followed by neurological deficits. however, some cases present with only axial pain or with ...

Study Design Retrospective evaluation of consecutively performed fluoroscopically guided cervical nerve root blocks. Objective To describe the incidence of injectate central epidural flow with respect to needle tip position during fluoroscopically guided extraforaminal cervical nerve root blocks (ECNRBs). Methods Between February 19, 2003 and June 11, 2003, 132 consecutive fluoroscopically guid...

Introduction The purpose of the present communication is to collect as completely as possible the sources of information relating to a rare group of tumours of the spinal epidural space-those of blood-vessel origin**-and to record eight previously unpublished examples of this condition. It has been thought helpful to include in the study not only those tumours which arise primarily within the e...

Ensuring analgesia both intraoperatively and postoperatively by the administration of local anesthetics or opioid through epidural catheter is a widespread method. On the other hand, after thoracic and major abdominal surgery, optimal perioperative anesthesia and analgesia can be provided through thoracic epidural analgesia and thus, postoperative morbidity and mortality can be decreased specif...

PURPOSE To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia. CLINICAL FEATURES A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13 ml was injec...

Several studies have emphasized the usefulness of preprocedural Ultrasound (US) assessment of lumbar spine. Despite those helpful informations this procedure may remain challenging. This report evaluates the effectiveness of a Real Time US Guided Epidural Anesthesia (RTUGEA) in morbidly obese patients as usual loss of resistance technique combined with a preinsertion US assessment of lumbar spi...

Background Spinal cord infarction (SCI) after epidural anesthesia is quite rare. Although most cases of perioperative SCI are associated with aortic, cardiac, or spinal surgery, and/or abnormal preoperative conditions, such as spinal stenosis or hypercoagulopathy, intraoperative events, such as severe hypotension or epidural puncture and catheterization, can be contributory factors. Case pres...