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Unilateral Hemiparesis with Thoracic Epidural in an Adolescent
Joint Authors
Sethna, Navil F.
Tassone, Rosalie F.
Seefelder, Christian
Source
Case Reports in Anesthesiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-30
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Objective.
Unilateral sensory and motor blockade is known to occur with epidural anesthesia but is rarely reported in children.
The differential diagnosis should include the presence of a midline epidural septum.
Case Report.
We describe a case of a 16-year-old adolescent who developed repeated complete unilateral extensive epidural sensory and motor blockade with Horner’s syndrome after thoracic epidural catheter placement.
This unusual presentation of complete hemibody neural blockade has not been reported in the pediatric population.
Maneuvers to improve contralateral uniform neural blockade were unsuccessful.
An epidurogram was performed to ascertain the correct location of the catheter within the epidural space and presence of sagittal compartmentalization.
Conclusion.
This case report highlights a less frequently reported reason for unilateral sensory and motor blockade with epidural anesthesia in children.
The presence of a midline epidural septum should be considered in the differential diagnosis of unilateral epidural blockade.
American Psychological Association (APA)
Tassone, Rosalie F.& Seefelder, Christian& Sethna, Navil F.. 2012. Unilateral Hemiparesis with Thoracic Epidural in an Adolescent. Case Reports in Anesthesiology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-494318
Modern Language Association (MLA)
Tassone, Rosalie F.…[et al.]. Unilateral Hemiparesis with Thoracic Epidural in an Adolescent. Case Reports in Anesthesiology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-494318
American Medical Association (AMA)
Tassone, Rosalie F.& Seefelder, Christian& Sethna, Navil F.. Unilateral Hemiparesis with Thoracic Epidural in an Adolescent. Case Reports in Anesthesiology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-494318
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494318