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[Transient segmental hyperalgesia following epidural analgesia]

Thomas Birkelund1, Thomas Schacht Revenfeld, Jytte Frandsen Møller

  • 1Anæstesiologisk Afdeling, Universitetshospital, Skejby, Brendstrupgårdsvej 100, Aarhus N. Thomas.birkelund@dadlnet.dk

Ugeskrift for Laeger
|May 30, 2012
PubMed

We present a case of transient segmental neurological reaction secondary to administration of local anaesthetics for epidural analgesia in a 42 year-old woman. An epidural catheter was introduced between thoracic intervertebral interspace 9 and 10. The patient received morphine, lidocaine, bupivacaine and ropivacaine. After 14 hours she experienced symptoms with burning intense pain, hyperalgesia with the upper limit just below the chest and the lower limit in the midfemur. The symptoms disappeared after 36 hours.

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