Background and Objectives A 58-year-old man developed progressive neurologic symptoms following a surgical procedure and postoperative epidural analgesia.
Methods Neurologic evaluation, magnetic resonance imaging, computed tomography, and electromyography indicated the presence of both arachnoiditis and Guillain-Barré syndrome. The patient was treated with plasmapheresis and methylprednisone.
Results The patient began to show clinical and electromyographic recovery but was lost to follow-up after his transfer to a rehabilitation facility.
Conclusions Anesthesiologists should be aware of the possible postoperative occurrence of rare neurologic disorders, both in patients who have received epidural analgesia and in those who have not, but they should not be deterred from using epidural analgesia by this isolated case.
- Guillain-Barré syndrome
- epidural anesthesia
- postoperative complications
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Case reported occurred at the University of Pittsburgh Medical Center.