Spinal cord compression immediately following, but unrelated to, epidural analgesia

Mills, Gary H.; Howell, Stephen; Richmond, M. N.

doi:10.1111/j.1365-2044.1994.tb04311.x

Cited by 14 publications

(4 citation statements)

References 15 publications

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“…Snoring and SDB could be due to progressive gestational weight gain, nasopharyngeal edema through high estrogen levels which are highest in the third trimester [26], decreased functional reserve capacity and increased arousals from sleep [27]. However, pregnancy is also associated with changes which may offer protection against sleep apneas such a decrease of REM sleep [6, 16, 28] and, as we observed in our population, a preference for lateral sleep posture [29]. The detection of snoring is of utmost importance, since it could be correlated with hypertension [23, 30, 31], pre-eclampsia [8, 9], and even growth retardation of the fetus [9, 26, 32] with lower mean Apgar scores [9].…”

Section: Discussionmentioning

confidence: 58%

Sleep and Vigilance Disorders in Pregnancy

Neau

Texier²,

Ingrand³

2009

Eur Neurol

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Objectives: To describe different sleep disorders and daytime sleepiness in a French population of randomly selected young women during pregnancy and to evaluate the frequency of these sleep disorders according to the three trimesters of pregnancy. Methods: Cross-sectional design with retrospective survey of pre-pregnancy, symptoms and prospective survey of current symptoms. Mothers were interviewed during pregnancy with a questionnaire to evaluate their sleep before pregnancy and to assess alterations in their sleep according to the trimester. Results: 871 pregnant women completed the questionnaire. The rate of pregnant women with insomnia with non-refreshing sleep and frequent awakenings increases during the second and the third trimester reaching more than 75% of the women, essentially due to an urge to urinate, movements of the fetus, backache and restless legs syndrome. Snoring also increases throughout the pregnancy with more than 18% of them snoring every night. Conversely, more than 75% of the women complained of a decrease in their vigilance and a need to nap inreased during the pregnancy. Conclusions: The subjective quality of sleep is disturbed as early as the first trimester of pregnancy and increases throughout the pregnancy, except for excessive daytime sleepiness which was more frequent during the first trimester.

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Section: Discussionmentioning

confidence: 58%

Sleep and Vigilance Disorders in Pregnancy

Neau

Texier²,

Ingrand³

2009

Eur Neurol

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“…Neurological deficits appearing soon after epidural or spinal anesthesia are not always caused by these procedures; however, these deficits are commonly attributed to neuroaxial procedures [1][2][3]. Dormant preexisting neurological disease, whether symptomatic or asymptomatic, may suddenly become apparent by some functional alterations produced by neuraxial anesthesia, by some of its complications, or by medications injected.…”

Section: Introductionmentioning

confidence: 99%

Exacerbation of preexisting neurological deficits by neuraxial anesthesia: report of 7 cases

Aldrete

Reza-Medina

Daud

et al. 2005

Journal of Clinical Anesthesia

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“…In general, the causes of paraplegia associated with epidural blockade can be broadly divided into three groups: complications of anaesthesia, surgery and pre‐existing disease [12]. There are various case reports of paraplegia being coincident with epidural anaesthesia while caused by surgical [13, 9] or patient factors [14, 15]. In these cases the differential diagnosis always presents a challenge as indeed happened in this case.…”

Section: Discussionmentioning

confidence: 99%

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

et al. 1999

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Serious neurological complications of abdominal aortic vascular surgery are rare but devastating for all involved. When epidural blockade is part of the anaesthetic technique such complications may be attributed to needles, catheters or drugs. We present a patient who developed paraplegia following an elective abdominal aortic aneurysm repair. Continuous epidural blockade was part of the anaesthetic technique and postoperative analgesia. In this case the spinal cord damage was explained by ischaemia caused by the aortic surgery. This event has made us aware of a rare complication associated with abdominal aortic surgery and highlighted safety aspects of epidural anaesthesia in such patients.

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Spinal cord compression immediately following, but unrelated to, epidural analgesia

Cited by 14 publications

References 15 publications

Sleep and Vigilance Disorders in Pregnancy

Sleep and Vigilance Disorders in Pregnancy

Exacerbation of preexisting neurological deficits by neuraxial anesthesia: report of 7 cases

'Shared spinal cord' scenario: paraplegia following abdominal aortic surgery under combined general and epidural anaesthesia

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