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Known hypersensitivity to local anaesthetics of the amide type.
Acute active disease of the central nervous system, such as meningitis, poliomyelitis and cranial haemorrhage.
The presence of active tuberculosis or metastatic lesions in the vertebral column is also a contraindication.
Septicaemia.
Pernicious anemia with subacute combined degeneration of the spinal cord.
Pyrogenic infection of the skin or adjacent to the site of puncture.
Cardiogenic or hypovolaemic shock.
Coagulation disorders or ongoing anticoagulant treatment.
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