[Management of neurologic manifestations after obstetrical epidural anesthesia]

Epidural anaesthesia is commonly used in obstetrics (70% of all deliveries in the maternity units of Lille University Hospital). Four cases are reported: headache followed by diplopia and amaurosis, delayed lumbosacral paraesthesia, early paraesthesia of the left lower limb, severe cephalalgia. Etiological analysis allowed to find the causes of these disorders and to exclude any anaesthesia responsibility, moreover permitting adapted treatments. The medicolegal aspect must be emphasized and also the need of an extensive medical investigation to find out the aetiology and propose an appropriate management.