ISSN: 2155-6148
Department of Anesthesiology and Intensive Care Medicine, University of Algiers, Algiers City, Algeria
Case Report
Abnormal Prolonged Duration of Spinal Anesthesia in Patient with Multiple Sclerosis
Author(s): Hadbi Mohamed*, Benalakma Dalila, Ramzi Berbiche, Fatma Bouderbala and Fellah Nadia
Background: Local anesthetics act on demyelinated fibers by increasing the degree of conduction blockade already
present in the demyelinated segments of multiple sclerosis.
Case report: We report an unusual prolongation of the duration of spinal anesthesia in a patient with MS, through
this case and a review of the literature we discuss the causes of this incident and its relationship with demyelination,
preventive measures and how to proceed in at-risk situations.
Conclusion: The excessive prolongation of spinal anesthesia beyond the conventional time frame is an uncommon
but worrisome situation. Preoperative screening for neuropathy preoperative screening for neuropathy prompts to
explore a conduction abnormality and informing the patient about the nervous toxicity risk of local anesthetics. ILE
is.. View More»
DOI:
10.35248/2155-6148.21.12.984