Reactions 1135 - 20 Jan 2007

SBupivacaine

Footdrop following epidural analgesia in a child:case report

A 9-year-old boy, who had undergone ureterneosistostomy,received postoperative analgesia with bupivacaine [dosage notstated] via an epidural catheter for the following 2 days. Heexperienced bilateral ankle weakness, foot eversion and toedorsiflexion on catheter removal. Bilateral focal demyelinationof the peroneal nerve at the level of his fibular head andminimal axonal damage were revealed by electromyographicstudies. [Treatment and patient outcome not stated].

Author comment: "We speculate that the commonperoneal nerve injuries in our patient were due to mildpressure on the peroneal nerve that was sustained over manyhours because of the anesthetic and motor blocking effects ofthe epidural bupivacaine infusion."Yigit NA, et al. Drop foot after pediatric urological surgery under general andepidural anesthesia. Anesthesia and Analgesia 103: 1616, No. 6, Dec 2006 -Turkey 801059374

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Reactions 20 Jan 2007 No. 11350114-9954/10/1135-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved