Bilateral severe pain at L3-4 after spinal anaesthesia with hyperbaric 5% lignocaine

We describe a case of transient pain in both legs after spinal anaesthesia with a hyperbaric solution of 5% lignocaine delivered in a single bolus through a 22-gauge Quincke needle. The patient remained in a supine decubitus position throughout surgery and 31 h later pain was referred bilaterally to the L3 and L4 dermatomes.