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Canadian Journal of Anesthesia, Vol 23, 440-442, Copyright © 1976 by Canadian Anesthesiologists' Society

Paraplegia Following Transurethral Surgery

Y. DESNOYERS 1, L. BISSON 1, and A. SINDON 2

1 University of Montreal
2 University of Montreal, Department of Anaethesia, Maisonneuve-Rosement Hospital, Montreal, Quebec, Canada

We have presented a case of paraplegia following spinal anaesthesia administered for a transurethral prostatic resection. Further investigation revealed a metastatic peridural compressive lesion at the level of T4. We have discussed some of the contributory factors involved, chiefly the lumbar puncture (perimedullary vascular engorgement, alterations in C.S.F. dynamics) and the possible role of intra-operative water intoxication (swelling of spinal cord cells).






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Copyright © 1976 by the Canadian Anesthesiologists' Society.