Transient aphasia following spinal anaesthesia in an orthopaedic patient

B Tripat, G Ruchi, T Sonika
2012 Southern African Journal of Anaesthesia and Analgesia  
A 50-year-old male [American Society of Anesthesiologists (ASA) grade II] was scheduled for lower limb orthopaedic surgery. The subarachnoid space was localised with difficulty at L3/4 interspace and 3 ml of hyperbaric bupivacaine was given. Within a few minutes, the patient developed aphasia with a very high sensory block extending to C2 dermatome, followed by apnoea. The patient remained haemodynamically stable throughout surgery and respiration resumed within five minutes. Inadvertent
more » ... l deposition of local anaesthetic was speculated to be the cause of this unusual presentation.
doi:10.1080/22201173.2012.10872876 fatcat:hfupywq34reipmmgfxggqavybq