Case Study Question 5: X In the end, the patient was able to recover on her own as she was moved from the CT bed. It could be that during CT examination, the change of body position may have led to cracking of gas bubbles and allow them to fuse and absorb into the adipose tissue within epidural space. If this wasn't resolved on its own, what would have happened as the spinal compression went on for a longer period? (Think about what we learned in terms of nerve damage.) Selected Answer: Answers: patient will eventually lose feelings in her legs as well nothing because astrocytes can help with the repair of her neurons permenant lost of neurons due to prolonged compression, and patient probably won't be able to walk or move her leg patient will eventually lose feelings in her legs as well nothing, the neurons will be able to repair itself very easily on its own due to presence of neural stem cells in the PNS
Complication of an Epidural
A 30-year-old female patient in their 40th week of pregnancy was admitted to the hospital for labor and delivery. The patient decided to administer an epidural anesthesia to relieve her labor pains. After the epidural catheter was successfully inserted, a pump was connected to deliver the analgesic medication. The patient successfully delivered her baby vaginally after 3 hours on the epidural.
At first, everything seems normal. But a few hours later, the patient was unable to urinate. The next day, the patient could not move her lower limbs, though she still have feelings in them. CT scan (picture below; arrows indicate presence of gases) showed that there was a intraspinal pneumatosis (or an epidural pneumatosis).
Suddenly, the patient’s lower limbs were able to move again after she was removed from the CT bed. Both muscle strength and reflexes were functioning at normal levels again. The patient was discharged after confirmation of everything else being normal.
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