[Postpartum neurologic complications following delivery with peridural analgesia. Case report with literature review].
Regional analgesia provides effective pain relief during delivery. Postpartal neurological deficits may be due to pressure of the fetal head on nerve structures at the pelvic rim or may be a complication of epidural analgesia. Nerve injuries due to spontaneous delivery and instrumental delivery are much more common than neurological deficits from epidural analgesia such as epidural hematoma or epidural abscess. The pattern of nerve damage is usually unilateral and non segmental. This case report describes the differential diagnosis of neurological deficit after spontaneous delivery under epidural analgesia and a discussion of the recent literature. Finally recommendations for the treatment of neurological deficits after delivery under epidural analgesia are presented.
Besmer
I
I
Institut für Anästhesie und Reanimation, Kantonsspital, 6000 Luzem 16, Schweiz. besmerardielli@bluewin.ch
Schüpfer
G
G
Hodel
D
D
Jöhr
M
M
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009422:Nervous System Diseases / Q000209:etiology*; D010523:Peripheral Nervous System Diseases / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D011183:Postoperative Complications / Q000139:chemically induced* / Q000628:therapy; D011247:Pregnancy
Neurologische postpartale Komplikationen nach geburtshilflicher Periduralanalgesie. Fallbericht und Literaturübersicht.