Spinal anaesthesia for elective caesarean section in a patient with hereditary neuropathy with liability to pressure palsies

K, Samuel; Mead, K.; Cominos, Timothy; Weale, Nicola

doi:10.1016/j.ijoa.2019.05.004

Cited by 4 publications

(12 citation statements)

References 6 publications

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“…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.…”

Section: Discussionmentioning

confidence: 94%

“…[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. 7,10 One patient recovered completely; however, no details were described.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

“…[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.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

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

Saito,

Motoyasu,

Tokumine

et al. 2024

A&A Practice

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Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare peripheral neurological disorder that manifests with increased sensitivity to pressure. In people with this disorder, the peripheral nerves are unusually sensitive to pressure. Minor trauma or compression causing paralysis in the extremities is a hallmark of this disorder. Ensuring there is no pressure on the extremities is recommended as a preventive measure. We describe for the first time, postoperative vocal cord paralysis in a patient with HNPP due to left recurrent laryngeal nerve palsy. Anesthesiologists and surgeons should be aware of this possible complication in patients with HNPP.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Saito,

Motoyasu,

Tokumine

et al. 2024

A&A Practice

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“…One letter to the editor described performing regional anesthesia for anterior cruciate ligament reconstruction in a patient with HNPP (7). Four cases were published, which discussed the obstetric management of patients with HNPP (8)(9)(10)(11). No reports could be found on general anesthesia management and positioning for major surgery in patients with HNPP.…”

Section: Pathophysiology Of Perioperative Nerve Injurymentioning

confidence: 99%

Management of anesthesia for surgery in prone position for a patient with hereditary neuropathy with liability to pressure palsies. A case report and narrative literature review

Moerman¹,

Havenbergh²,

Houwe³

et al. 2021

Acta Anaest Belg

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The reported case describes a patient with hereditary neuropathy with liability to pressure palsies (HNPP) requiring a neurosurgical laminotomy procedure for an arachnoid cyst with medullary compression. HNPP is a rare pathology requiring meticulous anesthetic and surgical management. We give a detailed overview of the planning, simulation, and performance of the anesthesia procedure in order to minimize all potential risk factors for perioperative nerve injury. During the preparation of this case, where the positioning was extremely challenging, we reviewed the available literature for guidance. A few papers report the use of neuraxial anesthesia in patients previously diagnosed with HNPP. No reports could be found on the management of general anesthesia and positioning for major surgery in those patients.

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Peripheral Neuropathies

Wong

2024

Obstetric Anesthesia and Uncommon Disorders

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Spinal anaesthesia for elective caesarean section in a patient with hereditary neuropathy with liability to pressure palsies

Cited by 4 publications

References 6 publications

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

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

Management of anesthesia for surgery in prone position for a patient with hereditary neuropathy with liability to pressure palsies. A case report and narrative literature review

Peripheral Neuropathies

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