Focal Neurologic Deficit After Epidural Catheter Removal Leads to Meningioma Diagnosis

Although bee stings can cause local and systemic allergic reactions, neurological complications are rare. There are few reports of stroke following bee or wasp stings. We report a 70-year-old healthy man developed a focal neurologic deficit 5 hours after multiple bee stings, which was confirmed to be an acute ischemic stroke on computed tomography (CT) scan.DOI: http://dx.doi.org/10.3126/ajms.v4i2.7892Asian Journal of Medical Sciences 4(2013) 55-58

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Cerebrovascular Disease 2: Stroke (DRAFT)

10.1093/med/9780190650261.003.0005 ◽

2018 ◽

Author(s):

Tamara Kaplan ◽

Tracey Milligan

Keyword(s):

Cerebrovascular Disease ◽

Neurologic Deficit ◽

Definition Of ◽

Focal Neurologic Deficit

The video in this chapter explores cerebrovascular disease, and focuses on stroke. It discusses the definition of stroke as a sudden focal neurologic deficit that persists for more than 24 hours, as well as ischemic strokes (embolic, thrombotic, or due to hypoperfusion), and intraparenchymal hemorrhagic strokes.

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Spinal epidural hematoma following epidural catheter removal during antiplatelet therapy with cilostazol

Journal of Anesthesia ◽

10.1007/s00540-008-0623-5 ◽

2008 ◽

Vol 22 (3) ◽

pp. 290-293 ◽

Cited By ~ 20

Author(s):

Toru Kaneda ◽

Genya Urimoto ◽

Toshiyasu Suzuki

Keyword(s):

Epidural Catheter ◽

Antiplatelet Therapy ◽

Epidural Hematoma ◽

Catheter Removal ◽

Spinal Epidural Hematoma ◽

Spinal Epidural

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Comparison of analgesic effect of intrathecal morphine alone or in combination with bupivacaine and fentanyl in patients undergoing total gastrectomy: A prospective randomised, double blind clinical trial

Vojnosanitetski pregled ◽

10.2298/vsp111011011s ◽

2013 ◽

Vol 70 (6) ◽

pp. 541-547 ◽

Cited By ~ 2

Author(s):

Zoran Slavkovic ◽

Dusica Stamenkovic ◽

Veselin Geric ◽

Milic Veljovic ◽

Nebojsa Ivanovic ◽

...

Keyword(s):

General Anesthesia ◽

Epidural Catheter ◽

Total Gastrectomy ◽

Analgesic Effect ◽

Catheter Removal ◽

Anesthesia Induction ◽

Double Blind Study ◽

Double Blind ◽

Combined Spinal Epidural ◽

Spinal Epidural

Background/Aim. Combined spinal-epidural-general anesthesia has several advantages over general anesthesia alone. This study was designed to compare the efficacy of intrathecal (IT) morphine alone, or in combination with bupivacaine and fentanyl, as part of a combined spinal-epidural (CSE) analgesia, in patients undergoing elective total gastrectomy. Methods. This prospective, randomized double-blind study included 60 patients undergoing total gastrectomy under general anesthesia and CSE. We compared the analgesic effect of lumbar IT morphine 300 ?g (the group M, n = 20) vs morphine 300 ?g + bupivacaine 2 mg (the group MB, n = 20) vs morphine 300 ?g + bupivacaine 2 mg + fentanyl 25 ?g (the group MBF, n = 20) given after thoracic epidural catheter placement (T6-7) but before general anesthesia induction. Pain visual analogue scale (VAS) at rest (R), with movement (M) and with cough (C), and the number of analgesia requests were assessed for 72 h and after epidural catheter removal. Results. Compared to other groups, the MBF group required significantly fewer additional intra-operative epidural bupivacaine doses (p < 0.001), whereas the M group required significantly more supplemental intraoperative intravenous fentanyl, compared with the MBF (p = 0.022) and MB groups (p = 0.005). Postoperative pain relief was satisfactory in all the groups at all the time. VAS-R and VAS-M did not differ significantly among the groups. Compared to the M group, VAS-C scores 30 min postoperatively were significantly lower in the MBF (p = 0.029) and MB groups (p = 0.002). Duration of analgesia was longer in the MBF and MB groups, but the difference reached no significance. The number of supplemental analgesia requests was similar in all the groups in the first 12 h and during 72 h. Additional analgesia requests after epidural catheter removal were similar in all the groups, and side effects were infrequent. Conclusion. Compared to IT morphine alone, triple IT combination administered as part of CSE provided better intraoperative analgesia, but conferred no benefit with regards to postoperative analgesia.

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