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Maternal paraparesis after epidural anesthesia and cesarean section
W E Ackerman1, M M Juneja, R K Knapp
1Department of Anesthesiology, University of Cincinnati College of Medicine, Ohio 45267-0531.
Southern Medical Journal
|June 1, 1990
Summary
Continuous epidural infusions are popular for labor anesthesia but can cause rare complications. This case highlights anterior spinal artery syndrome and paraparesis following lumbar epidural anesthesia during labor and cesarean delivery.
Area of Science:
- Anesthesiology
- Neurology
- Obstetrics
Background:
- Continuous epidural infusion of local anesthetics with epinephrine is a common analgesic technique.
- This method is generally considered safe with minimal reported complications.
Purpose of the Study:
- To report a rare case of anterior spinal artery syndrome.
- To discuss the potential neurological complications associated with continuous lumbar epidural infusions.
Main Methods:
- Case report detailing a patient's experience.
- Review of anesthetic technique and patient outcome.
Main Results:
- The patient developed anterior spinal artery syndrome with paraparesis.
- This occurred after continuous lumbar epidural infusion during labor and emergency cesarean section.
Conclusions:
- Continuous lumbar epidural anesthesia, despite its safety profile, carries a risk of rare but severe neurological complications.
- Anterior spinal artery syndrome is a potential, albeit infrequent, adverse event that warrants consideration.
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