Commentary: Neurotoxicity of local anesthetics—An issue or a scapegoat?

Background and Objectives. To evaluate the etiologies of cauda equina syndrome (CES) and transient radicular irritation (TRI) or transient neurologic symptoms (TNS S) following hyperbaric spinal anesthesia. Methods. A review of recent (since 1991) and prior (since 1941) investigations regarding CES...

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Veröffentlicht in:	Regional anesthesia and pain medicine 1998-11, Vol.23 (6), p.605-610
Hauptverfasser:	Moore, Daniel C., Thompson, Gale E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia, Spinal - adverse effects Anesthetics, Local - administration & dosage Anesthetics, Local - adverse effects Cauda Equina - drug effects cauda equina syndrome Humans hyperbaric spinal anesthesia Low Back Pain - chemically induced Nerve Compression Syndromes - chemically induced Pressure radiating back pain Radiculopathy - chemically induced Regional anesthesia Spinal Cord - drug effects Spinal Cord Diseases - chemically induced Spinal Nerves - drug effects transient neurologic symptoms transient radicular irritation
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Beschreibung
Zusammenfassung:	Background and Objectives. To evaluate the etiologies of cauda equina syndrome (CES) and transient radicular irritation (TRI) or transient neurologic symptoms (TNS S) following hyperbaric spinal anesthesia. Methods. A review of recent (since 1991) and prior (since 1941) investigations regarding CES and TRI (TNS S) was conducted. Results. Recent publications fail to recognize significant prior information regarding CES and TRI (TNS S). Conclusions. Cauda equina syndrome is, in all probability, explainable. Further investigation to pinpoint the etiology of TRI (TNS S) is needed.
ISSN:	1098-7339 1532-8651
DOI:	10.1016/S1098-7339(98)90089-X