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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting

March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California

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5385

PARAPARESIS AFTER THORACIC EPIDURAL PLACEMENT: UNEXPECTED ETIOLOGY

Part of Topic

Medically Challenging Cases

Introduction

•Lower extremity weakness can be presenting sign of epidural hematoma
•Epidural hematoma is an emergency requiring surgical decompression
•Other etiologies of lower extremity (LE) weakness must be considered after negative thoracic MRI

Cervical Stenosis
•Anesthesia providers can be most likely to first encounter a neurologic deficit in the perioperative patient
•Typical presentation includes weakness (upper extremity > lower), incontinence, gait dysfunction
•Treatment typically requires surgical decompression
•This case highlights a unique presentation of cervical stenosis with no upper extremity involvement1
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