PP 23 Help Doctor, I Canít Move My Right Leg Post LSCS

Main Article Content

Cecilia Anthonysamy Muhammad Hafizi Suhaimi Fauzi Lim Poh Hin Rosidah Ibrahim

Abstract

Introduction


Our worst nightmare is post procedural complication.


Case report


A 30 year old lady, Para 1, had a LSCS in another hospital. Then, she presented to us 32 days post partum, very early one morning to the green zone, with right leg weakness since the caesarean section, which was done under spinal anaesthesia. Her husband said that the patient was admitted for prolonged stay post surgery in another hospital. A MRI of the lumbar sacral spine was already performed and it was reported to be normal. The patient was alert, conscious and seated on a wheel chair. The power on the right leg was 2/5. Babinski was up going. Patient was not transferred to the examination couch as it was difficult for her to move. 


Discussion


Not really knowing what to do, a quick consultation was made to the other specialties but unfortunately no conclusive results were made. Patient was then referred to the neuromedical consultant who agreed to see the patient in his clinic on the very same day, even though his clinic was fully booked. Examination in the neuromedical clinic revealed a sensory level much higher than the spinal insertion site. A MRI was ordered.


 Conclusion


In what appeared to be a surprise diagnosis, the patient was subsequently referred to the neurosurgical department in HKL for surgery.

Article Details

How to Cite
ANTHONYSAMY, Cecilia et al. PP 23 Help Doctor, I Cant Move My Right Leg Post LSCS. Malaysian Journal of Emergency Medicine, [S.l.], v. 1, n. 2, p. 27, dec. 2016. ISSN 2289-6147. Available at: <http://m-jem.com/index.php/mjem/article/view/74>. Date accessed: 22 july 2017.
Section
Poster Presentation