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Información de la revista
Vol. 40. Núm. 2.
Páginas 150-152 (Mayo - Julio 2012)
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Vol. 40. Núm. 2.
Páginas 150-152 (Mayo - Julio 2012)
DOI: 10.1016/S2256-2087(12)70031-7
Acceso a texto completo
Arachnoiditis Following Spinal Anesthesia for Cesarean Section
Aracnoiditis postanestesia raquídea para cesárea
Visitas
...
Claudia E. Gonzalez M.a,??
Autor para correspondencia
clegmd@hotmail.com

Corresponding author: Departamento de Anestesiología, Hospital Universitario del Valle, Calle 5 # 36-08, Piso 4, Cali, Colombia.
, Luis E. Enriquezb, Camilo Cruz A.c
a Anesthesiologist, Professor, Universidad del Valle, Cali, Colombia
b Second-Year Anesthesiology Resident, Universidad del Valle, Cali, Colombia
c Anesthesiologist, Professor, Universidad del Valle, Cali, Colombia
Información del artículo
Abstract

We report a case of arachnoiditis following subarachnoidal anesthesia for Cesarean section, with paraparesis, lumbar pain and arterial hypertension. The patient was diagnosed with arachnoidits on the basis of the clinical and imaging findings eight days after receiving subarachnoidal anesthesia for a C-section. She presented with emergent hypertensive crisis, and post-partum pre-eclampsia is ruled out. This presentation might be related with the inhibition of spinal regulatory centers. She was treated with systemic dexamethasone. The patient was totally symptom-free within 10 days and went on to recover fully and has been well during more than one year of follow-up.

Keywords:
Arachnoiditis
Anesthesia
Low back pain
Paresthesia
Resumen

Se reporta un caso de aracnoiditis tras anestesia subaracnoidea para cesárea que cursa con paraparesia, dolor lumbar e hipertensión arterial. Al paciente se le diagnostica aracnoiditis con criterios clínicos e imaginológicos 8 días después de recibir anestesia subaracnoidea para cesárea. Presenta emergencia hipertensiva, se descarta preeclampsia posparto. Posiblemete esta presentación se relacione con inhibición de centros reguladores medulares. Se trató con dexametasona sistémica. La paciente presenta recuperación completa de sus síntomas en el curso de 10 días, sin recaídas en más de 1 año de seguimiento.

Palabras clave:
Aracnoiditis
Anestesia
Dolor de la región lumbar
Parestesia
El Texto completo está disponible en PDF
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