JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via ISI Web of Science (1)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Moussa, T.
Right arrow Articles by Traore, T. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Moussa, T.
Right arrow Articles by Traore, T. J.
Related Collections
Right arrow Complications
Right arrow Regional Anesthesia

Anesth Analg 2006;102:1863-1864
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000216037.69269.60

REGIONAL ANESTHESIA

Cauda Equina Syndrome and Profound Hearing Loss After Spinal Anesthesia with Isobaric Bupivacaine

Traore Moussa, MD, Diallo Abdoulaye, MD, Coulibaly Youssouf, Guinto Cheick Oumar, Timbo Samba Karim, and Thomas Jeannette Traore

Department of Neurology, Department of Anesthesiology and Reanimation, Department of Otorhinolaryngology, Department of Ophthalmology, Point G Hospital, Medical School, Bamako, Mali

Address correspondence and reprint requests to Moussa Traore, Sr, MD, Medical school, Point G Hospital, Bamako, Mali 1805. Address e-mail to mtraore{at}mrtcbko.org.

A 33-yr-old man undergoing anorectal surgery developed cauda equina syndrome and bilateral profound hearing loss after single-injection spinal anesthesia with isobaric bupivacaine. There was no pain on needle placement. Neurologic assessment found impaired sensation to pinprick in the perineal region, lower extremity paralysis, and bowel and bladder incontinence. In addition, he developed a bilateral profound hearing loss involving the low frequencies, with the left side more affected than the right side. Although hearing impairment can occur with cerebrospinal fluid leakage, the etiology of cauda equina syndrome is uncertain. The simultaneous occurrence of these events has not been previously reported.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.