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  4. Unilateral Anterior Spinal Artery Syndrome following Spinal Anesthesia for Cesarian Section: A Case Report

Unilateral Anterior Spinal Artery Syndrome following Spinal Anesthesia for Cesarian Section: A Case Report

Case Reports in Neurology, 2024 · DOI: 10.1159/000539405 · Published: May 22, 2024

Spinal Cord InjuryAnesthesiologyNeurology

Simple Explanation

Spinal cord infarction is a rare but serious complication of spinal anesthesia that can occur due to various reasons. This case presents a situation where a patient experienced weakness and sensory loss in one leg after receiving spinal anesthesia for a cesarean section. The authors emphasize the importance of recognizing the risk of spinal cord infarction and monitoring blood pressure during and after spinal anesthesia to prevent this complication.

Study Duration
Not specified
Participants
38-year-old female patient
Evidence Level
Case Report

Key Findings

  • 1
    The patient presented with left lower extremity weakness, loss of temperature sensation, and urinary retention following spinal anesthesia for cesarian section.
  • 2
    MRI showed T2 hyperintensities in the left central spinal cord from T8 to the conus medullaris, indicating spinal cord infarction.
  • 3
    The patient's unilateral symptoms and MRI findings highlighted the complex and potentially variable blood supply to the spinal cord.

Research Summary

This case report describes a rare instance of unilateral anterior spinal artery (ASA) syndrome following spinal anesthesia for a cesarean section. The patient experienced left lower extremity weakness, sensory loss, and urinary retention, with MRI confirming spinal cord infarction. The authors discuss the potential mechanisms of spinal cord ischemia related to spinal anesthesia and emphasize the importance of monitoring blood pressure to prevent this complication.

Practical Implications

Increased Awareness

Anesthesiologists, obstetricians, and neurologists should be more aware of the potential for spinal cord infarction secondary to spinal anesthesia.

Blood Pressure Monitoring

Strict blood pressure monitoring is crucial during and after spinal anesthesia to prevent hypotensive infarction of the spinal cord.

Early Investigation

Neurologists should consider ischemic etiology in patients presenting with hyperacute onset of myelopathic symptoms after spinal anesthesia.

Study Limitations

  • 1
    The exact mechanism of injury in this case is unknown.
  • 2
    This is a single case report, limiting generalizability.
  • 3
    Long-term outcomes for the patient are not detailed.

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