TRANSIENT NEUROLOGIC TOXICITY AFTER SPINAL-ANESTHESIA, OR IS IT MYOFASCIAL PAIN - 2 CASE-REPORTS

TI-HERE have been several publications of ''transient neurologic toxic ity'' or ''transient radicular irritation'' attributed to intrathecal local anesthetics. Most described cases involved the use of hyperbaric lidocaine, 2-5%. Sumi et al.(1) recently reported a case in which tet racaine, 0.5%, was used. Reported cases present with low back or butto ck pain radiating to the thighs or lower legs. The pain is usually mod erate to severe, appearing 1-24 h postoperatively after recovery from an otherwise uneventful spinal anesthetic. In all reported cases, the symptoms disappeared within 1 week, We report two cases of similar sym ptoms and circumstances that have the appearance of simple musculoskel etal pain.