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Foot drop after spinal anesthesia for cesarean section: a case report
Ali Dastkhosh1, Majid Razavi2, Mehryar Taghavi Gilani2
1Mashhad University of Medical Sciences, Mashhad, Iran.
Local and Regional Anesthesia
|August 22, 2018
Summary
Spinal anesthesia for cesarean delivery can rarely cause temporary foot drop. This neurological complication, often linked to needle trauma or anesthetic effects, typically resolves with treatment like corticosteroids.
Area of Science:
- Anesthesiology
- Neurology
Background:
- Spinal anesthesia is a common and preferred method for cesarean sections.
- Neurological complications following spinal anesthesia are infrequent and usually temporary.
Observation:
- A 37-year-old woman developed left leg tingling, stiffness, movement disorders, and foot drop after cesarean delivery under spinal anesthesia.
- Magnetic resonance imaging of the lumbar spine showed no abnormalities.
Findings:
- Foot drop, a transient neurological deficit, can occur after spinal anesthesia due to needle trauma or local anesthetic toxicity.
- The patient's symptoms resolved after a 72-hour course of intravenous methylprednisolone.
Implications:
- Prompt diagnosis and treatment with corticosteroids may lead to favorable outcomes for post-spinal anesthesia foot drop.
- This case highlights the importance of recognizing and managing rare neurological complications of spinal anesthesia.
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