• Anaesth Intensive Care · Nov 2018

    Case Reports

    Adhesive arachnoiditis following inadvertent epidural injection of 2% chlorhexidine in 70% alcohol-partial recovery over the ensuing eight years.

    • I Mohamed Iqbal, R Morris, and M Hersch.
    • Staff Specialist, Department of Anaesthesia, St George Hospital; Conjoint Clinical Lecturer, St George and Sutherland Clinical School, University of New South Wales; Sydney, New South Wales.
    • Anaesth Intensive Care. 2018 Nov 1; 46 (6): 572-574.

    AbstractWe report a case of serious neurologic injury due to inadvertent epidural injection of 8 ml of the antiseptic 2% chlorhexidine in 70% alcohol during a procedure aimed to relieve the pain of labour. This resulted in immediate severe back pain, progressive tetraparesis and sphincter dysfunction caused by damage to the spinal cord and nerve roots. Subacute hydrocephalus necessitated drainage, but cranial nerve and cognitive function were spared. Magnetic resonance imaging documented marked abnormality of the spinal cord and surrounding leptomeninges. In the ensuing eight years, there has been clinical and electrophysiological evidence of partial recovery, but neurologic deficit remains severe.

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