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British Journal of Anaesthesia, 2002, Vol. 88, No. 1 141-143
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Recurrent neurological symptoms in a patient following repeat combined spinal and epidural anaesthesia

S. Sakura*,1, K. Toyota2, K. Doi1 and Y. Saito1

1Department of Anesthesiology, Shimane Medical University, Izumo City 693-8501, Japan. 2Department of Anesthesia, Miyoshi General Hospital, Miyoshi City, Japan*Corresponding author

A healthy woman developed neurological symptoms after two consecutive Caesarean sections under combined spinal and epidural anaesthesia. Amethocaine was used for spinal anaesthesia and mepivacaine for epidural anaesthesia on both occasions, and a combination of fentanyl and bupivacaine was continuously infused for pain relief after the second. Her symptoms on both occasions were similar, including pain in the buttocks of 7–11 days duration and numbness in the sacral area of 5–6 months.

Br J Anaesth 2002; 88: 141–3


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J. A. Aldrete and S. Sakura
Recurrent neurological symptoms in a patient after repeat combined spinal and epidural anaesthesia
Br. J. Anaesth., March 1, 2003; 90(3): 402 - 404.
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