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REGIONAL ANESTHESIA

Neurologic Dysfunction After Major Thoracic Surgery in a Patient with Severe Arteriosclerotic Disease Receiving Epidural Analgesia

Stéphanie Monsel, MD^*, Georges Rodesch, MD, PhD, Pierre-Antoine Laloë, MD^*, Guy Kuhlman, MD^*, and Marc Fischler, MD^*

From the *Service d'Anesthésie, Université Paris Ile-de-France Ouest; and Service de Neuro-Radiologie, Hôpital Foch, Suresnes, France.

Address correspondence and reprint requests to M. Fischler, MD, Service d'Anesthésie, Hôpital Foch, 40 rue Worth, 92151 Suresnes, France. Address e-mail to m.fischler{at}hopital-foch.org.

We present a patient who underwent pulmonary lobectomy with thoracic epidural analgesia and developed postoperative sensory-motor symptoms of the lower limbs. Radiological investigation indicated ischemia of the conus medullaris as the likely cause. The motor deficit disappeared gradually and the patient was mobilizing independently when discharged on postoperative day 21.