Show Summary Details
Page of

Neurological complications of neuraxial blockade 

Neurological complications of neuraxial blockade
Chapter:
Neurological complications of neuraxial blockade
Author(s):

Vibeke Moen

DOI:
10.1093/med/9780198713333.003.0028
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 25 February 2020

Neuraxial techniques for obstetric analgesia and anaesthesia are widespread, and serious complications are extremely rare. The most common of all complications following neuraxial blockade is postdural puncture headache, but headache may also be present in pathological conditions such as pre-eclampsia and sinus vein thrombosis. Headache may also be a symptom of cranial subdural haematoma, meningitis, and epidural abscess, all rare complications of central blockade, thus introducing a potential confounder in the newly delivered woman complaining of headache. Vertebral spinal haematomas are extremely rare in the healthy obstetric patient, but haemostatic disorders might develop following placement of an epidural catheter, thus increasing the possibility of spinal haematomas. Anaesthetists must be familiar with these rare complications, and perform neuraxial blockade avoiding traumatic damage, and using aseptic techniques. The anaesthetist will be involved in diagnosing a woman with neurological symptoms after labour and delivery, and must be familiar with common intrinsic obstetric neuropathies and clinical diagnostic procedures. This chapter describes complications following neuraxial blockade, as well as preventive and diagnostic procedures.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.