Guillain-Barre syndrome after obstetrical epidural analgesia.
Guillain Barre Syndrome (GBS) occurred 24 hours post-partum following an obstetrical epidural anesthetic (OEA) procedure. Clinical diagnosis was confirmed by cerebrospinal fluid (CSF) findings and nerve conduction velocity studies. GBS is an immune mediated process. Because of short latency between the onset of symptoms and the performance of the epidural block, a cause and effect relationship between epidural block and GBS in this patient is unlikely.
Gautier
P E
PE
Department of Anesthesiology, University of Louvain, Brussels, Belgium.
Pierre
P A
PA
Van Obbergh
L J
LJ
Van Steenberge
A
A
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D002045:Bupivacaine; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D005283:Fentanyl; D006801:Humans; D007743:Labor, Obstetric; D011129:Polyradiculoneuropathy / Q000209:etiology*; D011247:Pregnancy
D005283:Fentanyl; D002045:Bupivacaine; D004837:Epinephrine