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  • Title: Exaggerated epidural blockade resulting from unusual spread of bupivacaine in a patient with low back pain.
    Author: Popat MT, Jadad AR, Glynn CJ.
    Journal: Anaesthesia; 1991 Oct; 46(10):859-61. PubMed ID: 1835316.
    Abstract:
    A 75-year-old woman with chronic low back pain was given bupivacaine and methylprednisolone epidurally through a catheter in the L1-L2 interspace. An unusual spread of bupivacaine resulted in a block from the C4 to the L1 dermatome with no relief of back pain. Injection of a radiopaque dye and subsequent X rays showed a similar spread. The possible causes are discussed.
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