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Revista de la Sociedad Española del Dolor

versão impressa ISSN 1134-8046


VELAZQUEZ, S. et al. Peripheral neuropathy after delivery implications for epidural anaesthesia. Rev. Soc. Esp. Dolor [online]. 2006, vol.13, n.4, pp.246-249. ISSN 1134-8046.

Postpartum neurological damage occurs in the obstetric practice with an incidence between 0.08-0.92%. Neurological damage secondary to epidural technique is about 2:10,000. In last years, epidural anesthesia has become a generalized practice in obstetrics. Because of it, sometimes, the postpartum neurological damage can be attributed to epidural analgesia, forgetting other mechanisms. We present a 21 years old patient, 139 cm height, who 24 hours after epidural labor analgesia suffered a "drop foot", whose evolution was toward a complete resolution. Drop foot can be consequence of peroneal nerve, sciatic or lumbar or radicular damage. Clinical evolution, and complementary studies, such as RNM or EMG are useful for differential diagnosis. It looks necessary to study peripartum pe-ripheric neuropathies to discard its possible relation to anesthetic technique. These lesions should be minimized by our side with adequate punction level choose, avoiding direct local anesthetic injection, especially when a paresthe-sias occurs, and with a correct risk factors evaluation in the obstetric patient. Once the lesion has occurred, it is important a close follow up until the complete resolution.

Palavras-chave : Epidural; regional anesthesia; paripartum neuropathy; drop foot; obstetric analgesia.

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