Abstract

A 37-year-old American Society of Anesthesiologists physical status I patient was given a caudal epidural block with 24 ml of 3% 2-chloroprocaine for dilatation and curettage (D & C). Although the catheter placement was uneventful, the patient developed total spinal anesthesia. After surgery, neural blockade with clinical manifestations consistent with cauda equina syndrome persisted for approximately 6 months. Literature pertinent to chloroprocaine neurotoxicity is briefly reviewed.