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Severe and long-lasting complications of the nerve root and spinal cord after central neuraxial blockade.
Anesth Analg. 2007 Apr; 104(4):975-9.A&A

Abstract

BACKGROUND

Although rare, major complications after spinal and epidural anesthesia do occur. We report the complications after central neuraxial blockade occurring in 2000 in France.

METHODS

A retrospective questionnaire study was sent to all French rehabilitation centers to detail severe and long-lasting neurologic complications after central neuraxial blockade.

RESULTS

All specialized and 44% of the nonspecialized centers answered. Twelve cases, nine women and three men, were noted, 60% of which involved patients over 50 yr of age. All patients still had neurological deficits after 3 mo. Seven received spinal anesthesia, four had epidural anesthesia, and one had both procedures. Hemorrhagic lesions were found in only three patients. Among the nine other patients, anatomic abnormalities were common, including five instances of lumbar canal stenosis and two with spinal arachnoid cysts.

CONCLUSIONS

These findings suggest the influence of underlying spinal conditions in these complications.

Links

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Authors+Show Affiliations

de Sèze MP
Neurological Rehabilitation Unit, Pellegrin Hospital, Bordeaux, France. madeseze@club-internet.fr
Sztark F
No affiliation info available
Janvier G
No affiliation info available
Joseph PA
No affiliation info available

MeSH

Anesthesia, EpiduralAnesthesia, SpinalFemaleFranceHumansIncidenceMaleMiddle AgedRadiculopathyRehabilitation CentersRetrospective StudiesRisk FactorsSeverity of Illness IndexSpinal Cord DiseasesSurveys and QuestionnairesTime Factors

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

17377116

Citation

de Sèze, Mathieu-Panchoa, et al. "Severe and Long-lasting Complications of the Nerve Root and Spinal Cord After Central Neuraxial Blockade." Anesthesia and Analgesia, vol. 104, no. 4, 2007, pp. 975-9.
de Sèze MP, Sztark F, Janvier G, et al. Severe and long-lasting complications of the nerve root and spinal cord after central neuraxial blockade. Anesth Analg. 2007;104(4):975-9.
de Sèze, M. P., Sztark, F., Janvier, G., & Joseph, P. A. (2007). Severe and long-lasting complications of the nerve root and spinal cord after central neuraxial blockade. Anesthesia and Analgesia, 104(4), 975-9.
de Sèze MP, et al. Severe and Long-lasting Complications of the Nerve Root and Spinal Cord After Central Neuraxial Blockade. Anesth Analg. 2007;104(4):975-9. PubMed PMID: 17377116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe and long-lasting complications of the nerve root and spinal cord after central neuraxial blockade. AU - de Sèze,Mathieu-Panchoa, AU - Sztark,François, AU - Janvier,Gérard, AU - Joseph,Pierre-Alain, PY - 2007/3/23/pubmed PY - 2007/4/14/medline PY - 2007/3/23/entrez SP - 975 EP - 9 JF - Anesthesia and analgesia JO - Anesth Analg VL - 104 IS - 4 N2 - BACKGROUND: Although rare, major complications after spinal and epidural anesthesia do occur. We report the complications after central neuraxial blockade occurring in 2000 in France. METHODS: A retrospective questionnaire study was sent to all French rehabilitation centers to detail severe and long-lasting neurologic complications after central neuraxial blockade. RESULTS: All specialized and 44% of the nonspecialized centers answered. Twelve cases, nine women and three men, were noted, 60% of which involved patients over 50 yr of age. All patients still had neurological deficits after 3 mo. Seven received spinal anesthesia, four had epidural anesthesia, and one had both procedures. Hemorrhagic lesions were found in only three patients. Among the nine other patients, anatomic abnormalities were common, including five instances of lumbar canal stenosis and two with spinal arachnoid cysts. CONCLUSIONS: These findings suggest the influence of underlying spinal conditions in these complications. SN - 1526-7598 UR - https://www.unboundmedicine.com/medline/citation/17377116/Severe_and_long_lasting_complications_of_the_nerve_root_and_spinal_cord_after_central_neuraxial_blockade_ L2 - https://doi.org/10.1213/01.ane.0000253485.75797.e7 DB - PRIME DP - Unbound Medicine ER -