Postoperative Guillain-Barré syndrome, arachnoiditis, and epidural analgesia

Samuel K. Rosenberg, Brett R. Stacey

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

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 thev should not be deterred from using enidural analgesia bv this isolated case.

Original languageEnglish (US)
Pages (from-to)486-489
Number of pages4
JournalRegional Anesthesia
Volume21
Issue number5
StatePublished - Dec 1 1996

Keywords

  • Guillain-barré syndrome, arachnoiditis, epidural anesthesia, electromyography, postoperative complications

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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