Morgan A Clond, Evin A Koleini, Timothy E Richardson, Stephanie A Zyck, Vandana Sharma, Mashaal Dhir, Fenghua Li, Satish Krishnamurthy, Sebastian Thomas, Xiuli Zhang
We present an unusual case of a 60-year-old female who developed subtle, new-onset left upper and lower extremity weakness on day five of perioperative thoracic epidural placement. The onset of a focal neurological deficit after epidural placement usually raises suspicion for the presence of an epidural hematoma, abscess, or traumatic cord lesion. However, in this patient, brain imaging revealed a large, previously undiagnosed intracranial mass. Classically, the risk of mass-related intracranial pressure shifts leading to neurological changes is associated with spinal techniques, including diagnostic lumbar puncture, combined spinal-epidural catheter analgesia, and unintended dural puncture during epidural placement...
June 2021: Curēus