Open AccessTransient brachial monoparesis following epidural anesthesia for cesarean section
Author(s) -
Tejesh C Anandaswamy,
Manjunath Abloodu Chikkapillappa,
Geetha C Rajappa,
Shivakumar Shivanna
Publication year - 2011
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.86610
Subject(s) - medicine , anesthesia , weakness , fentanyl , surgery , neuraxial blockade , lumbar , respiratory distress , blockade , spinal anesthesia , receptor
Monoparesis following lumbar epidural block is a rare occurrence, with few cases reported in the literature. We report development of transient brachial monoparesis following epidural anesthesia in a parturient for cesarean section. The patient received a mixture of 15 mL of 2% lignocaine with 50 mcg fentanyl epidurally to achieve a blockade up to T6 level. She remained hemodynamically stable throughout the procedure, with no respiratory distress or desaturation. However, near the end of surgery, she developed weakness in the right upper limb. The weakness lasted for 90 min, followed by complete neurological recovery. Subsequent hospital stay was uneventful.