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Case Reports
Spinal epidural abscess--a rare complication after epidural analgesia for labour and delivery.
- T H Schroeder, W A Krueger, E Neeser, U Hahn, and K Unertl.
- Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Tübingen, Germany. torsen.schroeder@uni-teubingen.de
- Br J Anaesth. 2004 Jun 1;92(6):896-8.
AbstractWe report a case of spinal epidural abscess formation after short-term epidural catheter placement for analgesia during labour and delivery. The patient was previously healthy and did not have any predisposing factors. Increasing back pain was the only complaint. A contrast-enhanced CT study on day 5 was inconclusive. Magnetic resonance imaging was performed and showed a large triangular-shaped abscess with adjacent inflammation of the paravertebral muscles. One day later, the patient developed a sensory deficit in the left lower limb. The neurological deficit completely resolved after surgical decompression and debridement, which was followed by antibiotic treatment.
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