Worsening of neurologic symptoms after epidural anesthesia for labor in a Guillain-Barré patient

Anesth Analg. 2004 Mar;98(3):825-7, table of contents. doi: 10.1213/01.ane.0000101985.38587.1b.

Abstract

We report the case of a pregnant woman presenting with Guillain-Barré syndrome in which her neurologic status worsened immediately after delivery under epidural analgesia. We believe that the anesthetic technique may have played a role in the disease progression. Because of this potential association, the risks of worsening neurologic status after regional anesthesia and alternative analgesia options should be discussed with the parturient.

Implications: Because of the potential interaction between regional anesthesia and Guillain-Barré syndrome in pregnant women, the risks of worsening neurologic status and alternative analgesia options should be discussed with the parturient.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, Epidural / adverse effects*
  • Anesthesia, Obstetrical / adverse effects*
  • Female
  • Gait Disorders, Neurologic / physiopathology
  • Guillain-Barre Syndrome / physiopathology*
  • Humans
  • Nervous System Diseases / physiopathology*
  • Pregnancy