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A 33-year-old woman presented to hospital with new neurological deficits days after receiving a lumbar epidural for labour analgesia. A complication of epidural was initially suspected; however, spinal tuberculosis was found be the cause. This case demonstrates many of the challenges and unique requirements involved in providing neuraxial anaesthesia to the obstetric cohort, namely: consenting linguistically diverse patients, providing advice on discharge, and the role of anaesthetics in expediting time-critical investigations.<\/jats:p>","DOI":"10.1177\/0310057x251397159","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:37:51Z","timestamp":1769157471000},"page":"385-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Two needles, one haystack: Lessons from spinal tuberculosis mimicking lumbar epidural complication in a post-partum patient"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8664-1209","authenticated-orcid":false,"given":"Adam","family":"Lipszyc","sequence":"first","affiliation":[{"name":"Anaesthetics Department, Maitland Hospital, Maitland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Sivasankaran","sequence":"additional","affiliation":[{"name":"Anaesthetics Department, Maitland Hospital, Maitland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen360"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200608000-00023"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000253"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200410000-00021"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0959-289x(95)82967-f"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.33321\/cdi.2020.44.88"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/2049936114528173"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1414-4"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060513498023"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract13010014"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1179\/2045772311Y.0000000023"},{"key":"e_1_3_2_13_2","unstructured":"Global Tuberculosis Programme. WHO consolidated guidelines on tuberculosis: module 3: diagnosis: rapid diagnostics for tuberculosis detection 2021 update. Geneva: World Health Organization 2021. https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/46ae23dd-932a-4dd3-b6c9-66552b23878d\/content (accessed June 2025)."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0603400224"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1504300307"},{"key":"e_1_3_2_16_2","unstructured":"Australian and New Zealand College of Anaesthetists. 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