Neurological complications following regional anaesthesia in obstetrics

Brooks, Helen; May, A.E.

doi:10.1093/bjacepd/mkg111

Cited by 9 publications

(10 citation statements)

References 5 publications

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“…Neurological complications following spinal anesthesia are rare and transient, with a prevalence of about 3.5%. 1 So far, rare cases of permanent neurological complications have been reported. The most common causes of these complications include direct needle trauma and local anesthetic-induced neurotoxicity.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of these complications is estimated to be 0–36 per 10,000 epidural anesthesia cases and about 35 per 10,000 spinal anesthesia cases. 1 , 2 These complications occur in 20% of postpartum women, with only 0.2% being clinically significant. 3 Generally, a few neurological complications are reported after cesarean section.…”

Section: Introductionmentioning

confidence: 99%

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Foot drop after spinal anesthesia for cesarean section: a case report

Dastkhosh

Razavi

Gilani

2018

LRA

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ObjectiveSpinal anesthesia is the preferred anesthetic technique for cesarean section. Neurological complications are very rare and often transient after spinal anesthesia.Case reportIn the present case, a 37-year-old woman was considered eligible for cesarean section due to fetal distress. She underwent spinal anesthesia with a 25-gauge pencil-point spinal needle. In the sitting position, 3 mL of 0.5% bupivacaine was injected following free flow of cerebrospinal fluid. The cesarean delivery was uneventful without severe and significant hemodynamic changes. After recovery, the patient complained of tingling and stiffness in the left leg, accompanied with movement disorders and foot drop. Lumbar magnetic resonance imaging was normal. After receiving 500 mg intravenous methylprednisolone daily for 72 hours, she was discharged from the hospital with no particular problems.ConclusionFoot drop is a neurological disorder, which occurs following natural childbirth and spinal anesthesia due to direct needle trauma or local anesthetic toxicity. This complication is transient and usually resolves within a few days. In our patient, the neurological complication appeared after labor and anesthesia recovery, which was treated by corticosteroids and anti-inflammatory drugs, with no particular side effects.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Foot drop after spinal anesthesia for cesarean section: a case report

Dastkhosh

Razavi

Gilani

2018

LRA

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“…Other study revealed that the incidence of paresthesias during epidural catheter insertion increases with each additional dose, and the postoperative neurological deficit increased from 0.13% with a single dose to 0.66% with a continuous catheter, explained by the evidence of demyelination and inflammatory process adjacent to the catheter (43,44).…”

Section: Nerve and Root Injurymentioning

confidence: 99%

“…To avoid this type of complications an appropriate puncture site should be selected avoiding spaces where intervertebral discs protrusions could happen which can produce a tight canal (44), and to never puncture above L1 to L2 (45). Giebler et al (46) noticed an incidence of 0.2% of postoperative radicular pain in patients with thoracic catheters.…”

Section: Nerve and Root Injurymentioning

confidence: 99%

“…Epidural abscess symptoms appear 4 to 10 days after the insertion of the catheter. The most common symptoms are severe back pain which increasing intensity and general weakness associated with fever, nuchal rigidity, headache or local symptoms like rash, erythema and pruritus, with increasing white blood cell count, and erythrocyte sedimentation rate in the initial phases of the disease, or associated with radicular pain, sacrum numbness, reflects loss, and bladder dysfunction as late symptoms of the disease (44). The symptoms can progress as rapidly as weakness becoming paralysis of the lower limbs in less than 24 hours (33).…”

Section: Spinal Abscessmentioning

confidence: 99%

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