Foot Drop After Spinal Anaesthesia Following Emergency Appendectomy

Abstract

Spinal anesthesia is the preferred anesthetic technique for cesarean section. Neurological complications are very rare and often transient after spinal anesthesia. A 11-year old male child present with pain abdomen in emergency department and underwent emergency appendectomy on 12-07-2019. During operation spinal anesthesia was induced. On 15-07-2019 patients was discharged from hospital. Patient revisited Neurology OPD with complaints of Foot Drop on 31-07-2019. Patient investigated with MRI and Nerve Conduction Studies. On MRI was found diffuse disc bulge at L3, L4, L5 level causing bilateral neural foramina narrowing and in nerve conduction study was found neuropathy of left peroneal and sural nerves. Patient was treated conservatively. Foot drop is a neurological disorder, which occurs following natural childbirth and spinal anesthesia due to direct needle trauma or local anesthetic toxicity. This complication is transient and usually resolves within a few days