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Commentary: neurotoxicity of local anesthetics--an issue or a scapegoat?
1Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington 98111-0900, USA.
Regional Anesthesia and Pain Medicine
|December 5, 1998
Abstract
Background And Objectives:
To evaluate the etiologies of cauda equina syndrome (CES) and transient radicular irritation (TRI) or transient neurologic symptoms (TNSs) following hyperbaric spinal anesthesia.
Methods:
A review of recent (since 1991) and prior (since 1941) investigations regarding CES and TRI (TNSs) was conducted.
Results:
Recent publications fail to recognize significant prior information regarding CES and TRI (TNSs).
Conclusions:
Cauda equina syndrome is, in all probability, explainable. Further investigation to pinpoint the etiology of TRI (TNSs) is needed.