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Korean J Anesthesiol > Volume 45(5); 2003 > Article
Korean Journal of Anesthesiology 2003;45(5):677-679.
DOI: https://doi.org/10.4097/kjae.2003.45.5.677   
Unilateral Lower Limb Paralysis after Abdominal Hysterectomy: A case report.
Sang Sik Choi, Young Jin Ro, Sang Hwan Do
Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. shdo@snu.ac.kr
Postoperative neurological deficits are uncommon and may arise from diverse causes, and persistent neurological complications resulting from epidural anesthesia are extremely rare. We experienced a case of unilateral lower limb paralysis in a patient after abdominal hysterectomy under general and epidural analgesia. The condition persisted for more than several weeks despite gradual improvement, and believed to have resulted from epidural analgesia. However, neurological examination, electromyography (EMG) and nerve conduction study (NCS) revealed isolated peripheral femoral neuropathy rather than radiculopathy. This neurological deficit seemed to have been caused by the self-retaining retractor, used intraoperatively. If the cause of a neurological complication is peripheral neuropathy, then it is probably associated with the surgical procedure rather than the anesthetic procedure.
Key Words: abdominal hysterectomy; epidural analgesia; femoral neuropathy; postoperative neurological deficits; self-retaining retractor
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