Cranial nerve palsy following central neuraxial block in obstetrics – a review of the literature and analysis of 43 case reports

Highlights • 43 case reports of cranial nerve (CN) palsies after CNB in obstetrics are reviewed. • Epidural anaesthesia was implicated in almost 58% of the case reports. • Intracranial hypotension was the most common aetiology of CN palsy. • Neuroimaging is recommended for each case of CN palsy afte...

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Veröffentlicht in:	International journal of obstetric anesthesia 2017-08, Vol.31, p.13-26
Hauptverfasser:	Chambers, D.J, Bhatia, K
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Anesthesia & Perioperative Care Anesthesia, Epidural - adverse effects Anesthesia, Obstetrical - adverse effects Blood Patch, Epidural Cranial Nerve Diseases - epidemiology Cranial Nerve Diseases - etiology Cranial Nerve Diseases - therapy Cranial nerve palsy Epidural Female Humans Intracranial Hypotension - complications Nerve Block - adverse effects Neuraxial block Obstetrics Obstetrics and Gynecology Post-Dural Puncture Headache Pregnancy Spinal Young Adult
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Zusammenfassung:	Highlights • 43 case reports of cranial nerve (CN) palsies after CNB in obstetrics are reviewed. • Epidural anaesthesia was implicated in almost 58% of the case reports. • Intracranial hypotension was the most common aetiology of CN palsy. • Neuroimaging is recommended for each case of CN palsy after CNB. • In 81% of patients, the CN palsy resolved within a few months.
ISSN:	0959-289X 1532-3374
DOI:	10.1016/j.ijoa.2017.02.003