Worsening of neurologic symptoms after epidural anesthesia for labor in a Guillain-Barré patient.
We report the case of a pregnant woman presenting with Guillain-Barré syndrome in which her neurologic status worsened immediately after delivery under epidural analgesia. We believe that the anesthetic technique may have played a role in the disease progression. Because of this potential association, the risks of worsening neurologic status after regional anesthesia and alternative analgesia options should be discussed with the parturient.


CONCLUSIONS
Because of the potential interaction between regional anesthesia and Guillain-Barré syndrome in pregnant women, the risks of worsening neurologic status and alternative analgesia options should be discussed with the parturient.
Laboratoire d'Explorations Fonctionnelles, Clinique Neurologique, University Hospital, Nantes, France. sandrine.wiertlewski@chu-nantes.fr
Sandrine
S
Wiertlewski
Armelle
A
Magot
Sophie
S
Drapier
Jean-Marc
JM
Malinovsky
Yann
Y
Péréon
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D005260:Female; D020233:Gait Disorders, Neurologic / Q000503:physiopathology; D020275:Guillain-Barre Syndrome / Q000503:physiopathology*; D006801:Humans; D009422:Nervous System Diseases / Q000503:physiopathology*; D011247:Pregnancy