Journal of Anaesthesiology Clinical Pharmacology

CASE REPORT
Year
: 2012  |  Volume : 28  |  Issue : 3  |  Page : 374--377

Intraoperative neurological event during cesarean section under spinal anesthesia with fentanyl and bupivacaine: Case report and review of literature


Bikash Ranjan Ray1, Dalim Kumar Baidya2, Deepak Mathew Gregory1, Rani Sunder1 
1 Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India
2 LiverTransplant Anaesthesia and Critical Care, Fortis Hospital, Noida, Delhi-NCR, India

Correspondence Address:
Dalim Kumar Baidya
B-102, Dell, HRC Professional Hub, Indirapuram, Ghaziabad, Uttar Pradesh
India

Neurological events similar to transient ischemic attack in a peripartum woman are uncommon. Cerebral complications of preeclampsia, thrombo-embolic phenomena, or high spinal can mimic such situations. Spinal anesthesia with local anesthetic and opioid is an established anesthetic technique for cesarean section. Although intrathecal opioids are safe for both the mother and fetus; some unusual complications such as dysphagia alone or associated with facial numbness, aphasia, have been reported. We report a case of transient aphonia and tingling sensation over the face without any dysphagia after intrathecal administration of bupivacaine and fentanyl for cesarean section.


How to cite this article:
Ray BR, Baidya DK, Gregory DM, Sunder R. Intraoperative neurological event during cesarean section under spinal anesthesia with fentanyl and bupivacaine: Case report and review of literature.J Anaesthesiol Clin Pharmacol 2012;28:374-377


How to cite this URL:
Ray BR, Baidya DK, Gregory DM, Sunder R. Intraoperative neurological event during cesarean section under spinal anesthesia with fentanyl and bupivacaine: Case report and review of literature. J Anaesthesiol Clin Pharmacol [serial online] 2012 [cited 2021 Mar 9 ];28:374-377
Available from: https://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=3;spage=374;epage=377;aulast=Ray;type=0