Déficit motor asociado a analgesia epidural en paciente con patología neurológica preexistente no conocida

• Autores: T. García Navia, M.C. Pérez Mateos, I. Sánchez Martín, Lourdes Olmedo Granados, C. Avila Gordo
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 20, Nº. 4, 2013, págs. 176-179
• Idioma: español
• DOI: 10.4321/S1134-80462013000400005
• Títulos paralelos:
  • Motor deficits associated with epidural analgesia in patients with preexisting neurological disease of unknown
• Enlaces
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• Resumen
  • español

    Existen múltiples estudios que afirman que las complicaciones neurológicas asociadas a la práctica de un bloqueo neuroaxial pueden tener una mayor incidencia en los pacientes que presentan enfermedades neurológicas preexistentes como la estenosis espinal. Esta incidencia puede ser especialmente relevante si no se cuenta con un diagnóstico previo de dichas patologías. En el presente trabajo describimos nuestra experiencia con una mujer de 60 años de edad, diagnosticada de isquemia crónica de miembro inferior derecho, que presentó un déficit motor importante tras la colocación de un catéter epidural para el manejo del dolor.

  • English

    There are many studies that suggest that the neurological complications associated with the practice of neuraxial blockade may have a higher incidence in patients with preexisting neurological conditions such as spinal stenosis. This effect may be particularly relevant if there is no previous diagnosis of these pathologies. We describe our experience with a 60-year-old woman diagnosed with chronic ischemia of the right leg which presented an important motor deficit following epidural catheter insertion for pain management.

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