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Anesth Analg 2005;100:547-548
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000144776.51550.47

OBSTETRIC ANESTHESIA

Inherited Neuropathy Can Cause Postpartum Foot Drop

Gary Peters, MRCP, and Nigel P. Hinds, MRCP

Department of Neurology, Walton Centre for Neurology and Neurosurgery, Fazakerley, Liverpool, UK

Address correspondence and reprint requests to Gary Peters, MRCP, Department of Neurology, Walton Centre for Neurology and Neurosurgery, Lower Lane, Fazakerley, Liverpool, UK L9 7LJ. Address e-mail to gary.peters@ thewaltoncentre.nhs.uk.

Postpartum neurological complications occur in up to 1% of deliveries. Often prior anesthetic procedures are blamed, with medicolegal implications. We describe a young woman who presented with postpartum foot drop diagnosed as an iatrogenic L5 root lesion after uncomplicated epidural anesthesia. After neurological assessment some 5 mo later she tested positive for the common hereditary neuropathy with liability to pressure palsies mutation that was a likely contributing factor in the development of her postpartum neuropathy. Anesthesiologists should consider hereditary neuropathies in the differential diagnosis of postpartum or postsurgical neurological deficits if there is a suggestive clinical history.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.