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Anesth Analg 2004;98:825-827
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000101985.38587.1B

OBSTETRIC ANESTHESIA

Worsening of Neurologic Symptoms After Epidural Anesthesia for Labor in a Guillain-Barré Patient

Sandrine Wiertlewski, MD*,{dagger}, Armelle Magot, MD*, Sophie Drapier, MD{dagger}, Jean-Marc Malinovsky, MD PhD{ddagger}, and Yann Péréon, MD PhD*

*Laboratoire d’Explorations Fonctionnelles, the {dagger}Clinique Neurologique, and the {ddagger}Département d’Anesthésie et Réanimation Chirurgicale, University Hospital, Nantes, France

Address correspondence and reprint requests to Dr. Sandrine Wiertlewski, Clinique Neurologique, Hôpital Guillaume et René Laënnec, F-44093 Nantes Cedex, France. Address email to sandrine.wiertlewsky{at}chu-nantes.fr

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.






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 © 2004 by the International Anesthesia Research Society.