Text

Subdural Empiema L1-5 Pasca Anestesi Neuraksial (Empyema Subdural L1-5 After Neuraxial Anesthesia)

---

Infectious complications may occur after any regional anesthetic techniques, but are of greatest concern if the infection occurs around the spinal cord or within the spinal canal. Bacterial infection of the central neural axis may present as meningitisor cord compression secondary to abscess formation. The infectious source for meningitisand epidural abscess may result from distant colonization or localized infectionwith subsequent hematogenous spread and central nervous system (CNS) invasion. A woman 35-year old weight 55kg, came into RSUP.H.Adam Malik with the main complaint can not be moved both legs, since approximately 2 weeks before entering the hospital, where previously she was performed to caesarean section with spinal anesthesia techniques, a week later she was feeling numb and tingling feet, then can not move anymore. She also complained incontinensia of defecation and urination. History offever (+), low back pain (+). A history of trauma (-). From physical examination, breath rate 18x/min, regular, vesicular breathing sounds, extra sounds not found, blood pressure 140/90mmHg, heart rate 100x/min, regular, temperature 37.8°C. awareness is composmentis, with paraplegia in both legs, paraestesia (+). Laboratory tests: Hb: 10.3g%, Ht: 32.4%, leukocytes: 24.900/mm3, platelet 496.000/mm3. MR.!: found a picture of an abscess. By general anesthesia with prone position, the patient underwent debridement lam inectomy for evacuation of abscess. Durante operation encountered about 40m1 of pus in the subdural L 1 to L5. Furthermore, patients treated in the ICU after surgery and antibiotic therapy meropenem 1gram per 8 hours, metronidazole 1500mgday, gentamicin 80mg per 12hours was given. During post operative care until the patient discharge from hospital, there were no improvement significantly, however, there were reducing in low back pain, fever, and loss of pain in both legs with improved motor function from 0 to 2.
Keywords: neuraxial anesthesia, empyema subdural

---

Ketersediaan

Informasi Detail

Judul Seri

-

No. Panggil

Jurnal Neuroanastesia Indonesia, 02 (01) 2013 : 29

Penerbit

Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2013

Deskripsi Fisik

6p

Bahasa

ISBN/ISSN

2088-9670

Klasifikasi

-

Tipe Isi

-

Tipe Media

-

Tipe Pembawa

-

Edisi

-

Subjek

-

Info Detail Spesifik

-

Pernyataan Tanggungjawab

-

Versi lain/terkait

Lampiran Berkas

Komentar

---

Anda harus masuk sebelum memberikan komentar