Hereditary neuropathy with a liability to pressure palsies presenting as a case of sensory neuropathy following spinal anaesthesia for caesarean delivery

Hereditary Neuropathy with Liability to Pressure Palsy and Vocal Cord Paralysis After Pulmonary Lobectomy: A Case Report

“…3,7,12 Four patients had no neurological complications, 2,3,11,12 whereas 9 experienced some complications. [4][5][6][7][8][9][10][11][12] The condition of 6 patients improved within 2 days to 5 months. 4,5,8,9,11,12 In 2 patients, nerve injury persisted.…”

“…4,5,8,9,11,12 In 2 patients, nerve injury persisted. 7,10 One patient recovered completely; however, no details were described. 6 Among the neuropathies reported for patients with HNPP who had surgery, cranial nerve injury is rare as an outcome.…”

“…Thus far, there have been 11 case reports of patients with HNPP who underwent surgery or procedure (Table ). [2][3][4][5][6][7][8][9][10][11][12] The types of anesthesia were general anesthesia (n = 5), 5,[8][9][10]12 epidural anesthesia (n = 1) for cesarean delivery, 4 epidural analgesia for labor (n = 5), 2,3,6,11 and spinal anesthesia for Cesarean delivery (n = 3). 3,7,12 Four patients had no neurological complications, 2,3,11,12 whereas 9 experienced some complications.…”

“…[2][3][4][5][6][7][8][9][10][11][12] The types of anesthesia were general anesthesia (n = 5), 5,[8][9][10]12 epidural anesthesia (n = 1) for cesarean delivery, 4 epidural analgesia for labor (n = 5), 2,3,6,11 and spinal anesthesia for Cesarean delivery (n = 3). 3,7,12 Four patients had no neurological complications, 2,3,11,12 whereas 9 experienced some complications. [4][5][6][7][8][9][10][11][12] The condition of 6 patients improved within 2 days to 5 months.…”

“…1 In previous cases, anesthesia-related neuropathy in HNPP has mostly involved the peripheral nerves of the extremities. [2][3][4][5][6][7][8][9][10][11][12] It has been recommended that any pressure involving the extremities be minimized during anesthesia to prevent these complications. We report a case that successfully managed to prevent peripheral nerve neuropathy, but the patient manifested with vocal cord paralysis due to recurrent laryngeal nerve (RLN) palsy.…”