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Nerve injury in an undiagnosed adult tethered cord syndrome patients following spinal anesthesia -A case report-
Anesth Pain Med 2015;10(3):171-4
Published online July 31, 2015
© 2015 The Korean Society of Anesthesiologists.

Yu Yil Kim, Jae Wook Song, Jin Hun Lim, Yong Seok Kim, Young Eun Kwon, and Jun Hak Lee
Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea
Correspondence to: Yu Yil Kim, M.D.,
Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, 365, Seowon-ro, Wansangu, Jeonju 560-750, Korea.
Tel: 82-63-230-1594, Fax: 82-63-230-1599, E-mail:
Received August 7, 2014; Revised December 1, 2014; Accepted January 27, 2015.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Spinal anesthesia is a safe and widely used procedure. Spinal cord injury is a rare but serious complication from spinal anesthesia occurs, unexpectedly. Risks of direct neural injury from spinal anesthesia increase in tethered cord syndrome that the spinal cord is tethered by the inelastic structure and is, also, extended to the lower lumbar vertebra. A 52-years-old female patient undergoing anti-incontinence surgery developed neurologic symptoms following spinal anesthesia. The low-lying conus (L5 body level) and tethered cord were found during the assessment of neurological symptoms. (Anesth Pain Med 2015; 10: 171-174)
Key Words : Spinal anesthesia, Spinal cord injury, Tethered cord syndrome
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