Abstract

RAMIREZ BERMEJO, A. et al. Neurological deficit and arachnoiditis secondary to neuroaxial anesthesia: role of paresthesia, dural puncture, local anesthetics and gender: Treatment protocol. Rev. Soc. Esp. Dolor [online]. 2009, vol.16, n.6, pp.330-343. ISSN 1134-8046.

Introduction: Among the complications of neuroaxial anesthesia, arachnoiditis and neurological deficit represent one of the most serious problems that anesthesiologists can face. Although the real frequency of this complication is unknown, the functional consequences for the patient and legal repercussions for the physician are devastating, mainly because most patients are not treated in a timely fashion, increasing the probability of a catastrophic outcome. Methods: Case review. Results: We reviewed a series of cases and analyzed the factors that possibly influenced the presence of complications, the treatments used and their effectiveness in reducing permanent disability and in achieving recovery, as well as the results of their timely application. Discussion: Once these complications appear, the primary objective is to initiate a therapeutic plan that avoids or reduces permanent sequels. To do this, specific treatment that allows functional recovery must be started immediately. However, currently there is no treatment protocol with demonstrated effectiveness in reducing sequels.

Keywords : Neuroaxial anesthesia; Complications; Arachnoiditis; Neurological deficit.

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