2011
DOI: 10.1055/s-0031-1293536
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Neurologic Issues and Obstetric Anesthesia

Abstract: The rising popularity of regional anesthesia in the last several decades has greatly changed the experience of labor. Although the use of regional anesthesia has aided in decreasing maternal morbidity and mortality, a new dimension of neurologic issues, particularly headache and peripheral neuropathy, is apparent. Obstetric anesthesiologists frequently encounter patients with preexisting neurologic disease. Although very few of these disorders contraindicate the use of neuraxial technique, there are limited pu… Show more

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Cited by 16 publications
(13 citation statements)
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References 77 publications
(87 reference statements)
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“…[ 17 ] We had no previous experience of managing intraneural perineurioma parturient and related literatures did not offer any meaningful practical advice. [ 18 20 ] We managed this case based on multidisciplinary consultation for reasonable expectations and experiences of managing parturients with other preexisting neurologic conditions such as neurofibromas.…”
Section: Discussionmentioning
confidence: 99%
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“…[ 17 ] We had no previous experience of managing intraneural perineurioma parturient and related literatures did not offer any meaningful practical advice. [ 18 20 ] We managed this case based on multidisciplinary consultation for reasonable expectations and experiences of managing parturients with other preexisting neurologic conditions such as neurofibromas.…”
Section: Discussionmentioning
confidence: 99%
“…Compression of the neurovascular supply is another possible mechanism. [ 20 ] Moreover, women often push during the second stage of labor in a lithotomy position with their thighs hyperflexed on the abdomen. This position may stretch nerves as they course from the pelvis to the lower extremities.…”
Section: Discussionmentioning
confidence: 99%
“…A number of smaller studies also support the safety of spinal and epidural anesthesia in women with Chiari malformation type I. 4,[14][15][16][17][18] Syringomyelia Syringomyelia refers to a fluid-filled column within the spinal cord. It can be seen in 40% to 60% of patients with Chiari malformation type I.…”
Section: Chiari Malformationmentioning
confidence: 99%
“…T he advantages of neuraxial anesthesia (epidural and spinal anesthesia) over general anesthesia in pregnant women are well established. [1][2][3][4] The incidence of failed intubation is 8 times higher in pregnant women than among nonpregnant women, 5 and the incidence of fatal failed intubation is 13 times higher. 4,6 This is related to edema and capillary engorgement of the airway that occur with pregnancy and can be exacerbated in women who have preeclampsia.…”
Section: Introductionmentioning
confidence: 99%
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