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.
Wiertlewski
Sandrine
S
Laboratoire d'Explorations Fonctionnelles, Clinique Neurologique, University Hospital, Nantes, France. sandrine.wiertlewski@chu-nantes.fr
Magot
Armelle
A
Drapier
Sophie
S
Malinovsky
Jean-Marc
JM
Péréon
Yann
Y
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