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British Journal of Anaesthesia, 2001, Vol. 87, No. 3 512-515
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Spinal cord injury caused by direct damage by local anaesthetic infiltration needle

A. R. Absalom*,1, G. Martinelli1 and N. B. Scott2

1University Department of Anaesthesia, Glasgow Royal Infirmary, Alexandra Parade, Glasgow G31 2ER, UK. 2Department of Anaesthesia, HCI International Medical Centre, Clydebank, Glasgow G81 4HX, UK*Corresponding author

We describe a case of spinal cord injury caused by direct trauma from a local anaesthetic infiltration needle. During local anaesthetic infiltration before placement of an epidural catheter, the patient suddenly rolled over onto her back, causing the infiltrating needle to advance all the way to its hub. She immediately showed signs of spinal cord injury, confirmed by MRI scan. However, her neurological status gradually improved, and on discharge she was able to walk, with a sensory deficit localized to her left foot.

Br J Anaesth 2001; 87: 512–15


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