The use of regional block is very often blamed as a cause for postoperative neurological complication, if they are present. Arteria spinalis anterior syndrome is a very rare complication with the possibility of permanent neurologic deficit. We present a case report of a. spinalis anterior syndrome in a 58-years-old woman after vascular surgery. The aetiological factors that may have contributed to this tragic complication are discussed.

        Key words: epidural – anaesthesia – complication