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Multiple Epidural Abscesses and Spinal Anesthesia in a Diabetic Patient: Case Report
  1. Vivek Mahendru, M.D.,
  2. Douglas R. Bacon, M.D. and
  3. Mark J. Lema, M.D., Ph.D.
  1. From the Department of Anesthesiology SUNYAB and the Department of Anesthesiology, Roswell Park Cancer Institute, Buffalo, New York
  1. Reprint requests: Douglas R. Bacon, M.D., Department of Anesthesiology, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263-0001.

Abstract

Background and Objectives. Spinal anesthesia as a cause of epidural abscess is extremely rare. Infection at the site of needle placement is the usual cause of abscess formation.

Methods. Immunocompromised patients, and in this case a diabetic patient may be at higher risk for this complication.

Results. Anesthesiologists need to be aware of factors that may lead to epidural abscess formation.

Conclusions. The signs and symptoms of this unfortunate complication should be uppermost in the physician's mind when assessing new neurologic deficits after regional anesthesia.

  • regional anesthesia
  • complication
  • epidural abscess
  • spinal anesthesia

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