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- Title
Adhesive arachnoiditis following inadvertent epidural injection of 2% chlorhexidine in 70% alcohol-partial recovery over the ensuing eight years.
- Authors
Mohamed Iqbal, I; Morris, R; Hersch, M
- Abstract
We report a case of serious neurologic injury due to inadvertent epidural injection of 8 ml of the antiseptic 2% chlorhexidine in 70% alcohol during a procedure aimed to relieve the pain of labour. This resulted in immediate severe back pain, progressive tetraparesis and sphincter dysfunction caused by damage to the spinal cord and nerve roots. Subacute hydrocephalus necessitated drainage, but cranial nerve and cognitive function were spared. Magnetic resonance imaging documented marked abnormality of the spinal cord and surrounding leptomeninges. In the ensuing eight years, there has been clinical and electrophysiological evidence of partial recovery, but neurologic deficit remains severe.
- Subjects
ALCOHOLS (Chemical class); BACTERICIDES; CHLORHEXIDINE; LONGITUDINAL method; MAGNETIC resonance imaging; MEDICAL errors; MENINGITIS; SPINAL cord; EPIDURAL injections
- Publication
Anaesthesia & Intensive Care, 2018, Vol 46, Issue 6, p572
- ISSN
0310-057X
- Publication type
journal article
- DOI
10.1177/0310057x1804600606