Transient neurological symptoms with subarachnoid lidocaine: effect of early mobilization

Cramer, B. G.; Stienstra, Rudolf; Dahan, Albert; Arbous, M. Sesmu; Veering, Bernadette; Kleef, Jack W. van

doi:10.1097/00003643-200501000-00008

Cited by 6 publications

(1 citation statement)

References 19 publications

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“…Furthermore, the deficit turned out to be transitory; in fact, while the surgeons were discussing the case and deciding to remove the drain, the patient spontaneously recovered strength, and after removing it, sensation and pain also improved. Transient motor neurological deficits have been described as a complication of lumbar spinal surgery [6][7][8][9][10][11][12] . However, while they are relatively common after lateral and extremely lateral lumbar interbody fusions, with a rate that ranges from 1% to 3%, they are rarer after PLIF and their exact frequency is not known 8,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

Transient L5 Nerve Root Palsy Caused by Subfascial Drain After Lumbar Surgery

Barile

Ruffilli

Viroli

et al. 2022

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Case: We describe the case of a 45-year-old woman who developed a transient L5 deficit after a posterior L4-L5 interbody fusion. A perfusion computed tomography scan ruled out all described causes of postoperative deficit and showed compression of the right L5 root by the subfascial drain. The deficit spontaneously resolved. Conclusion: New neurological deficit after spine surgery is a complication that requires a quick diagnostic and therapeutic approach. This particular case is of interest not only because it describes a rarely reported complication (transient neurological motor deficit after posterior fusion) but also because the hypothesized cause has never been described before.

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