Arachnoiditis Following Spinal Anesthesia for Cesarean Section
Keywords:
Arachnoiditis, Anesthesia, Low back pain, Paresthesia
Abstract
We report a case of arachnoiditis following subarachnoidal anesthesia for Cesarean section, with paraparesis, lumbar pain and arterial hypertension. The patient was diagnosed with arachnoidits on the basis of the clinical and imaging findings eight days after receiving subarachnoidal anesthesia for a C-section. She presented with emergent hypertensive crisis, and post-partum pre-eclampsia is ruled out. This presentation might be related with the inhibition of spinal regulatory centers. She was treated with systemic dexamethasone. The patient was totally symptom-free within 10 days and went on to recover fully and has been well during more than one year of follow-up.
References
1. Brull R, McCartney CJ, Chan VW, El-Beheiry H. Neurological complications after regional anesthesia: contemporary estimates of risk. Anesth Analg. 2007;104:965-74.
2. Moen V, Irestedt L. Neurological complications following central neuraxial blockades in obstetrics. Curr Opin Anaesthesiol. 2008;21:275-80.
3. Rodriguez Luna JG, Sandoval Sanchez V, Benavides Rodriguez D, Olivares Camacho JL, Taboada JB. Paraplegia due to adhesive arachnoiditis. A case report. Acta Ortop Mex. 2009;23:232-6.
4. Aldrete JA. Neurologic deficits and arachnoiditis following neuroaxial anesthesia. Acta Anaesthesiol Scand. 2003;47:3-12.
5. Schnittger T. Regional anaesthesia in developing countries. Anaesthesia. 2007;62 Suppl 1:44-7.
6. Ramírez Bermejo A, Aldrete JA, Godínez Cubillo NC, Bautista Sánchez S, Ghaly R, Kassian Rank A. Déficits neurológicos y aracnoiditis secundarios a anestesia neuroaxial: rol de parestesias, punciones durales, anestésicos locales y género: Protocolo para su tratamiento. Rev Soc Esp Dolor. 2009;16:330-43.
7. Wright MH, Denney LC. A comprehensive review of spinal arachnoiditis. Orthop Nurs. 2003;22:215-9.
8. Bourne IH. Lumbo-sacral adhesive arachnoiditis: a review. J R Soc Med. 1990;83:262-5.
9. Shaw MD, Russell JA, Grossart KW. The changing pattern of spinal arachnoiditis. J Neurol Neurosurg Psychiatry. 1978;41:97-107.
10. Reisner LS, Hochman BN, Plumer MH. Persistent neurologic deficit and adhesive arachnoiditis following intrathecal 2-chloroprocaine injection. Anesth Analg. 1980;59:452-4.
11. Etchepare F, Roche B, Rozenberg S, Dion E, Bourgeois P, Fautrel B. Post-lumbar puncture arachnoiditis. The need for directed questioning. Joint Bone Spine. 2005;72:180-2.
12. Rice I, Wee MY, Thomson K. Obstetric epidurals and chronic adhesive arachnoiditis. Br J Anaesth. 2004;92:109-20.
13. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363-70.
14. Couto da Silva JM, Couto da Silva JM Jr, Antonio Aldrete J. Body temperature and diaphoresis disturbances in a patient with arachnoiditis. Anesth Analg. 2001;93:1578-9.
15. Wong CA, Scavone BM, Dugan S, Smith JC, Prather H, Ganchiff JN, et al. Incidence of postpartum lumbosacral spine and lower extremity nerve injuries. Obstet Gynecol. 2003;101:279-88.
16. Aldrete JA, Ghaly RF, Brown TL, Vascello LA, Montpetit FH, Johnson SC. Correlación de hallazgos radiológicos con los eventos adversos que posiblemente hayan causado aracnoiditis. Rev Soc Esp Dolor. 2005;12:269-76.
17. Fernandez Canabate E, Longoni Merino M, Garriga Biosca R, Navas Vinagre I. Administration of intrathecal hyaluronidase in a patient diagnosed with adhesive arachnoiditis. Farm Hosp. 2008;32:58-60.
18. Aldrete JA. Chronic adhesive arachnoiditis. Br J Anaesth. 2004;93:301.
19. Mateos-Gomez JH, Canales R, Rivas A. Effect of dexamethasone in the prevention of arachnoiditis produced by blood. Arch Invest Med (Mex). 1984;15:13-6.
2. Moen V, Irestedt L. Neurological complications following central neuraxial blockades in obstetrics. Curr Opin Anaesthesiol. 2008;21:275-80.
3. Rodriguez Luna JG, Sandoval Sanchez V, Benavides Rodriguez D, Olivares Camacho JL, Taboada JB. Paraplegia due to adhesive arachnoiditis. A case report. Acta Ortop Mex. 2009;23:232-6.
4. Aldrete JA. Neurologic deficits and arachnoiditis following neuroaxial anesthesia. Acta Anaesthesiol Scand. 2003;47:3-12.
5. Schnittger T. Regional anaesthesia in developing countries. Anaesthesia. 2007;62 Suppl 1:44-7.
6. Ramírez Bermejo A, Aldrete JA, Godínez Cubillo NC, Bautista Sánchez S, Ghaly R, Kassian Rank A. Déficits neurológicos y aracnoiditis secundarios a anestesia neuroaxial: rol de parestesias, punciones durales, anestésicos locales y género: Protocolo para su tratamiento. Rev Soc Esp Dolor. 2009;16:330-43.
7. Wright MH, Denney LC. A comprehensive review of spinal arachnoiditis. Orthop Nurs. 2003;22:215-9.
8. Bourne IH. Lumbo-sacral adhesive arachnoiditis: a review. J R Soc Med. 1990;83:262-5.
9. Shaw MD, Russell JA, Grossart KW. The changing pattern of spinal arachnoiditis. J Neurol Neurosurg Psychiatry. 1978;41:97-107.
10. Reisner LS, Hochman BN, Plumer MH. Persistent neurologic deficit and adhesive arachnoiditis following intrathecal 2-chloroprocaine injection. Anesth Analg. 1980;59:452-4.
11. Etchepare F, Roche B, Rozenberg S, Dion E, Bourgeois P, Fautrel B. Post-lumbar puncture arachnoiditis. The need for directed questioning. Joint Bone Spine. 2005;72:180-2.
12. Rice I, Wee MY, Thomson K. Obstetric epidurals and chronic adhesive arachnoiditis. Br J Anaesth. 2004;92:109-20.
13. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363-70.
14. Couto da Silva JM, Couto da Silva JM Jr, Antonio Aldrete J. Body temperature and diaphoresis disturbances in a patient with arachnoiditis. Anesth Analg. 2001;93:1578-9.
15. Wong CA, Scavone BM, Dugan S, Smith JC, Prather H, Ganchiff JN, et al. Incidence of postpartum lumbosacral spine and lower extremity nerve injuries. Obstet Gynecol. 2003;101:279-88.
16. Aldrete JA, Ghaly RF, Brown TL, Vascello LA, Montpetit FH, Johnson SC. Correlación de hallazgos radiológicos con los eventos adversos que posiblemente hayan causado aracnoiditis. Rev Soc Esp Dolor. 2005;12:269-76.
17. Fernandez Canabate E, Longoni Merino M, Garriga Biosca R, Navas Vinagre I. Administration of intrathecal hyaluronidase in a patient diagnosed with adhesive arachnoiditis. Farm Hosp. 2008;32:58-60.
18. Aldrete JA. Chronic adhesive arachnoiditis. Br J Anaesth. 2004;93:301.
19. Mateos-Gomez JH, Canales R, Rivas A. Effect of dexamethasone in the prevention of arachnoiditis produced by blood. Arch Invest Med (Mex). 1984;15:13-6.
How to Cite
1.
Gonzalez M CE, Enriquez LE, Cruz A. C. Arachnoiditis Following Spinal Anesthesia for Cesarean Section. Colomb. J. Anesthesiol. [Internet]. 2012 Apr. 1 [cited 2024 Apr. 28];40(2):150-2. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/827
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Published
2012-04-01
How to Cite
1.
Gonzalez M CE, Enriquez LE, Cruz A. C. Arachnoiditis Following Spinal Anesthesia for Cesarean Section. Colomb. J. Anesthesiol. [Internet]. 2012 Apr. 1 [cited 2024 Apr. 28];40(2):150-2. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/827
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Case Report / Case Series
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