半麻也有风险，竟然这么严重( 二 )
Conclusion: We believe the culprit of the acute focal neurology deficits in this patient could be due to the epidural catheterisation and the post-op local anaesthetic injections. From this case, we anecdotally recommend performing thoracolumbar MRI as part of pre-op workup in patients with long standing back issues or claudication, considering x-ray guided catheterisation in higher risk patients for epidural hematoma, and early and repeated neurological examination and rapid investigation for any mild neurological deficits.
Keywords: Colorectal cancer surgery; Continuous epidural analgesia; Epidural anaesthesia; Epidural haematoma; Paraplegia post-op; Surgical case report.
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