Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2015Indian Journal of AnaesthesiaOpen Access

Flaccid paralysis following subarachnoid block: A diagnostic dilemma

View Full Paper
Ask AI
Bookmark
Share

Key result

Subarachnoid block triggers reversible Guillain-Barre syndrome presenting as acute paraplegia.

  • n=1

Why the study?

Neurologic injuries secondary to central neuraxial block are extremely rare and can present a diagnostic challenge due to multiple possible etiologies.

Population

1 elderly female with fracture neck of femur and dorso lumbar kyphoscoliosis

Comparison

Not applicable (case report)

Design

Case report

Follow-up

2 months

Authors

TSTanvir SamraPost Graduate Institute of Medical Education and ResearchVSVikas SainiFortis HospitalTKTenzin Kyizom

Discussion

Loading...

Member takes

Implication

Consider coincidental GBS in acute paraplegia after subarachnoid block; single case leaves causal link open.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 85-year-old female who developed acute onset paraplegia following a subarachnoid block for a cemented hemi-arthroplasty.
I
Intervention
Subarachnoid block (1.8 mL 0.5% hyperbaric bupivacaine with 25 μg fentanyl administered intrathecally).
O
Outcome
Development of acute onset paraplegia (flaccid paralysis).safety

This case highlights the diagnostic dilemma of acute flaccid paralysis following subarachnoid block, emphasizing the need to consider coincidental Guillain-Barre syndrome.

Cite This Study

Samra et al. (2015) conducted a case report in Flaccid paralysis following subarachnoid block (n=1). Subarachnoid block was evaluated on Development of flaccid paralysis. An 85-year-old female developed acute onset paraplegia due to Guillain-Barre syndrome following a subarachnoid block, which completely resolved in 2 months.

synapsesocial.com/papers/6ab5e53b36086f271b4c48c7https://doi.org/10.4103/0019-5049.162992
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neurologic Deficits following Epidural or Spinal Anesthesia1981 · 348 citations
  2. 2ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine2008 · 263 citations
  3. 3Combined spinal and epidural anesthesia for labor and cesarean delivery in a patient with Guillain-Barre syndrome2001 · 38 citations