A Case of Epidural Lipomatosis in Pregnancy: Management during Labour and Caesarean Section

Smith, Martha; Martin, Rachel; Robblee, Jennifer; Shore, Eliane M.

doi:10.1016/j.jogc.2018.04.011

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…The effects and potential complications likely depend on the variation of distributed tissue; however, successful cases have rarely ever been reported to allow providers to cautiously provide pain management for patients with a need for epidural analgesia. One such prior case has been reported in which a pregnant patient with a prior diagnosis of SEL underwent an epidural anesthetic procedure before labor [11]. There were no challenges during the administration of epidural anesthesia nor subsequent relevant complications.…”

Section: Discussionmentioning

confidence: 99%

A Case of Epidural Management in a Pregnant Patient with Spinal Epidural Lipomatosis

Ali¹,

Huang²

2019

Cureus

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Spinal epidural lipomatosis (SEL) is a rare condition in which fat accumulates in the epidural space. Patients may be asymptomatic or present with neurologic symptoms if the spinal cord is compressed. Based on the pathophysiology of this condition, there are theorized effects that suggest a contraindication to epidural anesthesia. Due to the rarity of the condition, there is a lack of significant evidence in the literature regarding the efficacy of epidural analgesia or related complications in these patients. Herein, we have presented a patient with a prior diagnosis of spinal epidural lipomatosis and her course of anesthetic management during labor.

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Section: Discussionmentioning

confidence: 99%