# Intrathecal Digoxin Administration During Spinal Anesthesia: A Case Report Outlining Recovery and Rehabilitation

**Authors:** Nicholas R Hooper, Minh Andy Doan, Derick Davis, James Morgan

PMC · DOI: 10.7759/cureus.65376 · 2024-07-25

## TL;DR

A 24-year-old woman who accidentally received digoxin during spinal anesthesia showed significant recovery in cognition and mobility after a month of rehabilitation.

## Contribution

This case report presents a rare instance of neurological recovery following accidental intrathecal digoxin administration.

## Key findings

- The patient showed significant improvement in cognition and functional mobility after a month of rehabilitation.
- The patient achieved ambulation with assistive devices following the rehabilitation program.

## Abstract

This case report highlights the rehabilitation outcomes of a 24-year-old female who received inadvertent intrathecal digoxin during a routine cesarean section, leading to encephalomeningitis, vestibulocochlear neuritis, and incomplete paraplegia. Despite initial neurological deficits, the patient demonstrated significant improvement in both cognition and functional mobility during a one-month inpatient rehabilitation program, ultimately achieving ambulation with assistive devices. This case underscores the potential for rehabilitation of neurological sequela following accidental intrathecal digoxin administration.

## Linked entities

- **Chemicals:** digoxin (PubChem CID 2724385)

## Full-text entities

- **Diseases:** neurological sequela (MESH:D009422), neurological deficits (MESH:D009461), vestibulocochlear neuritis (MESH:D009443), paraplegia (MESH:D010264), encephalomeningitis (MESH:D008590)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11344593/full.md

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Source: https://tomesphere.com/paper/PMC11344593