Persistent cortical blindness after a thoracic epidural test dose of bupivacaine.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20068456.
- Also identified by DOI 10.1097/ALN.0b013e3181c5387a.
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Abstract
Thoracic epidural anesthesia is considered as an essential component of the perioperative care for patients undergoing lung resection. Although neurologic adverse events have been associated with this technique, permanent injury is rare. These events primarily involve the peripheral nervous system; for example, nerve root injury. We present a case of persistent cortical blindness after a test dose of bupivacaine was administered into an uneventfully placed thoracic epidural catheter.
Medical subject headings
- Anesthesia, Epidural
- Anesthetics, Local
- Blindness, Cortical
- Bupivacaine