Neurologic deficits and labor analgesia

Wong, Cynthia A.

doi:10.1016/j.rapm.2004.04.001

Cited by 22 publications

(3 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The fetal head position in the pelvis might injure the unilateral nerve root. The well-known neurological complications associated with neuraxial anesthesia are transient neurological symptoms, cauda equina syndrome, and neuropathy associated with hematoma or abscess formation [ 3 ]. A puncture needle might directly injure spinal cord or nerve root near the puncture site.…”

Section: Discussionmentioning

confidence: 99%

“…Postpartum neurological deficits are rare but clinically significant complications of vaginal and cesarean deliveries [ 1 ]. Diagnosis is challenging if the neurological symptoms do not fit any of the well-described complications such as compressive nerve injuries during vaginal deliveries [ 2 ] or those related to neuraxial blockade [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report

Shimizu

2022

JA Clin Rep

View full text Add to dashboard Cite

Background Adhesive arachnoiditis has been described as a deteriorating neurological complication after neuraxial blockade; however, few pieces of literatures have reported minor cases that resemble peripheral neuropathy. Case presentation A 29-year-old nulliparous woman underwent an emergent cesarean delivery under spinal anesthesia at the second and third lumbar interspace (L2/3) without any specific concerns. Subsequently, she developed left L5 and sacral first (S1) radiculopathy that persisted for 2 months. Although the neurological findings more likely indicated peripheral neuropathy, magnetic resonance imaging revealed localized adhesive arachnoiditis at the left L5/S1 level. Her symptoms gradually improved and entirely disappeared within 2 months without any particular treatment. Conclusion The neurological symptoms that show a clear tendency to improve spontaneously do not always undergo a detailed workup. Therefore, such minor adhesive arachnoiditis might have occurred more than expected. Imaging such cases might cumulatively further the understanding of its etiology.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report

Shimizu

2022

JA Clin Rep

View full text Add to dashboard Cite

show abstract

“…In practicing regional anesthesia, symptoms such as infection, epidural hematoma, post-dural puncture headache, damage of nerves, and general poisoning due to intravenous injection of the anesthetic can occur. A woman delivering a baby can have nerve injury, along with anatomical and physiological changes, during her pregnancy [1-3]. When a woman has delivered a baby either through vaginal delivery or Cesarean section with regional anesthesia, and then complains of pain in the nervous system after childbirth, obstetricians refer this complaint to the anesthesia department.…”

mentioning

confidence: 99%

Meralgia paresthetica affecting parturient women who underwent cesarean section -A case report-

Chung

Lee

et al. 2010

Korean J Anesthesiol

View full text Add to dashboard Cite

Meralgia paresthetica is commonly caused by a focal entrapment of lateral femoral cuteneous nerve while it passes the inguinal ligament. Common symptoms are paresthesias and numbness of the upper lateral thigh area. Pregnancy, tight cloths, obesity, position of surgery and the tumor in the retroperitoneal space could be causes of meralgia paresthetica. A 29-year-old female patient underwent an emergency cesarean section under spinal anesthesia without any problems. But two days after surgery, the patient complained numbness and paresthesia in anterolateral thigh area. Various neurological examinations and L-spine MRI images were all normal, but the symptoms persisted for a few days. Then, electromyogram and nerve conduction velocity test of the trunk and both legs were performed. Test results showed left lateral cutaneous nerve injury and meralgia paresthetica was diagnosed. Conservative treatment was implemented and the patient was free of symptoms after 1 month follow-up.

show abstract

Focal Limb Weakness

Tarulli¹

2020

Neurology

View full text Add to dashboard Cite

Neurologic deficits and labor analgesia

Cited by 22 publications

References 81 publications

Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report

Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report

Meralgia paresthetica affecting parturient women who underwent cesarean section -A case report-

Focal Limb Weakness

Contact Info

Product

Resources

About