CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2022; 09(02): 119-120
DOI: 10.1055/s-0041-1740204
Case Report

Transient Paraplegia following Labor Epidural Analgesia

Anitha Prashanth
1   Department of Anaesthesia, Fortis Hospital, New Delhi, India
,
Murali Chakravarthy
2   Department of Anesthesia and Critical Care, Fortis Hospital, New Delhi, India
,
Priya Motiani
2   Department of Anesthesia and Critical Care, Fortis Hospital, New Delhi, India
› Author Affiliations

Abstract

Neurological complications following labor epidural analgesia have varied outcomes. While most of the complications resolve spontaneously, a few cases may need appropriate intervention to prevent the progression of transient deficit to a permanent sequela. There have been case reports of permanent damage as well. Here we present a report of a parturient who developed flaccid paraplegia following labor epidural but recovered completely after catheter removal. Catheter-related neurological complications do occur and irritation of the anterior spinal artery causing transient paraplegia was considered as a possible etiology here.



Publication History

Article published online:
22 February 2022

© 2022. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Alastair D. Neurological complications in obstetric regional anesthetic practice. J Obstet Anaesth Crit Care 2016; 6: 3-10
  • 2 Brooks H, May A. Neurological complications following regional anesthesia in obstetrics. BJA 2003; 3: 111-114
  • 3 Gurudatt CL. Unintentional dural puncture and postdural puncture headache-can this headache of the patient as well as the anaesthesiologist be prevented?. Indian J Anaesth 2014; 58 (04) 385-387
  • 4 Rana K, Jenkins S, Rana M. Insertion of an intrathecal catheter following a recognised accidental dural puncture reduces the need for an epidural blood patch in parturients: an Australian retrospective study. Int J Obstet Anesth 2018; 36: 11-16
  • 5 Liu FL, Cherng YG, Chang HC. Aphonia and quadriplegia—a rare complication following epidural labor analgesia. Acta Anaesthesiol Taiwan 2008; 46 (03) 142-145
  • 6 Chakravarthy M, Nadiminti S, Krishnamurthy J, Thimmannagowda P, Jawali V. Temporary neurologic deficit (Claw hand) resulting from thoracic epidural catheterization. J Anaesthesiol Clin Pharmacol 2004; 20: 171-174
  • 7 Ben-David B, Vaida S, Collins G, Naum M, Gaitini L. Transient paraplegia secondary to an epidural catheter. Anesth Analg 1994; 79 (03) 598-600