Transient neurologic symptoms: Etiology, risk factors, and management

Regional Anesthesia and Pain Medicine

Volumn 27, Issue 6, 2002, Pages 581-586

  Pollock, Julia E ^a  

^a VIRGINIA MASON MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHETIC AGENT; ANTIBIOTIC AGENT; BUPIVACAINE; CHLOROPROCAINE; FENTANYL; HYPERTENSIVE AGENT; LIDOCAINE; LOCAL ANESTHETIC AGENT; MEPIVACAINE; MUSCLE RELAXANT AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; PRILOCAINE; TETRACAINE; VASODILATOR AGENT;

AMBULATORY SURGERY; ARACHNOIDITIS; ARTHROSCOPIC SURGERY; BACKACHE; BRAIN ISCHEMIA; CAUDA EQUINA SYNDROME; CLINICAL FEATURE; CONFERENCE PAPER; DECOMPRESSION SURGERY; DRUG SAFETY; EPIDURAL ABSCESS; EPIDURAL HEMATOMA; HIGH RISK PATIENT; HISTORY OF MEDICINE; HUMAN; LAMINECTOMY; LITHOTOMY; NERVE INJURY; NEUROLOGIC DISEASE; OBESITY; PARAPLEGIA; PATIENT POSITIONING; PRIORITY JOURNAL; RISK FACTOR; SCIATIC NERVE; SPINAL ANESTHESIA; SPINAL CORD ISCHEMIA; SYMPTOM; CHEMICALLY INDUCED DISORDER; DIFFERENTIAL DIAGNOSIS; HISTORY; RADICULOPATHY; REVIEW;

ANESTHESIA, SPINAL; ANESTHETICS, LOCAL; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; DIAGNOSIS, DIFFERENTIAL; HISTORY, 20TH CENTURY; HUMANS; LIDOCAINE; NERVOUS SYSTEM DISEASES; POLYRADICULOPATHY; RISK FACTORS;

EID: 0036855701     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1053/rapm.2002.36457     Document Type: Conference Paper

References (32)

1. Rigler M, Drasner K, Krejcie T, Yelich S, Scholnick F, DeFontes J, Bohner D. Cauda equina syndrome after continuous spinal anesthesia. Anesth Analg 1991;72:275-281.
2. Schell R, Brauer F, Cole D, Applegate R. Persistent sacral root deficits after continuous spinal anesthesia. Can J Anaesth 1991;38:908-911.
3. Schneider M, Ettlin T, Kaufmann M, Schumacher P, Urwyler A, Hampl K, Von Hochstetter A. Transient neurologic toxicity after hyperbaric subarachnoid anesthesia with 5% lidocaine. Anesth Analg 1993;76:1154-1157.
4. Phillips O, Ebner H, Nelson A, Black M. Neurologic complications following spinal anesthesia with lidocaine: A prospective review of 10,440 cases. Anesthesiology 1969;30:284-289.
5. DeJong R. Last round for a "Heavyweight"? Anesth Analg 1994;78:3-4.
6. Drasner K. Lidocaine spinal anesthesia: A vanishing therapeutic index? Anesthesiology 1997;87:469-471.
7. Hampl KF, Schneider MC, Thorin D, Ummenhofer W, Drewe J. Hyperosmolarity does not contribute to transient radicular irritation after spinal anesthesia with hyperbaric 5% lidocaine. Reg Anesth Pain Med 1995;20:363-368.
8. Pollock JE, Neal JM, Stephenson CA, Wiley C. Prospective study of the incidence of transient radicular irritation in patients undergoing spinal anesthesia. Anesthesiology 1996;84:1361-1367.
9. Hampl KF, Schneider MC, Pargger H, Gut J, Drewe J, Drasner K. A similar incidence of transient neurologic symptoms after spinal anesthesia with 2% and 5% lidocaine. Anesth Analg 1996;83:1051-1054.
10. Liguori GA, Zayas VM, Chisholm M. Transient neurologic symptoms after spinal anesthesia with mepivacaine and lidocaine. Anesthesiology 1998;88:619-623.
11. Martiniez-Bourio R, Arzuaga M, Quintana JM, Aguiler L, Aguirre J, Saez-Equilaz J, Arizaga A. Incidence of transient neurologic symptoms after hyperbaric subarachnoid anesthesia with 5% lidocaine and 5% prilocaine. Anesthesiology 1998;88:624-628.
12. Hampl KF, Heinzmann-Wiedmer S, Luginbuehol I, Harms C, Seeberger M, Schneider M, Drasner K: Transient neurologic symptoms after spinal anesthesia. Anesthesiology 1998;88:629-633.
13. Salmela L, Aromma U. Transient radicular irritation after spinal anesthesia induced with hyperbaric solutions of cerebrospinal fluid-diluted lidocaine 50 mg/ml or mepivacaine 40 mg/ml or bupivacaine 5 mg/ml. Acta Anaesthesiol Scand 1998;42:765-769.
14. Hiller A, Karjalainen K, Balk M, Rosenberg P. Transient neurologic symptoms after spinal anaesthesia with hyperbaric 5% lidocaine or general anaesthesia. Br J Anaesth 1999;82:575-579.
15. Pollock J, Liu S, Neal J, Stephenson C. Dilution of spinal lidocane does not alter the incidence of transient neurologic symptoms. Anesthesiology 1999;90:445-449.
16. Hodgson P, Liu S, Batra M, Gras T, Pollock J, Neal J. Procaine compared with lidocaine for incidence of transient neurologic symptoms. Reg Anesth Pain Med 2000;25:218-222.
17. Keld DB, Hein L, Dalgaard M, Krogh L, Rodt SA. The incidence of transient neurologic symptoms after spinal anaesthesia in patients undergoing surgery in the supine position. Hyperbaric lidocaine 5% versus hyperbaric bupivacaine 0.5%. Acta Anaesthesiol Scand 2000;44:285-290.
18. Ostgaard G, Hallaraker O, Ulveseth OK, Flaatten. A randomised study of lidocaine and prilocaine for spinal anaesthesia. Acta Anaestheiol Scand 2000;44:436-440.
19. DeWeert K, Traksel M, Gielen M, Slappendel R, Weber E, Dirksen R. The incidence of transient neurologic symptoms after spinal anaesthesia with lidocaine compared to prilocaine. Anaesthesia 2000;55:1003-1024.
20. Salazar F, Bogdanovich A, Adalia R, Chabas E, Gomar C. Transient neurologic symptoms after spinal anaesthesia using isobaric 2% mepivacaine and isobaric 2% lidocaine. Acta Anaesthesiol Scand 2001;45:240-245.
21. Lindh A, Andersson AS, Westman L. Is transient lumbar pain after spinal anaesthesia with lidocaine influenced by early mobilisation? Acta Anaesthesiol Scand 2001;45:290-293.
22. Philip J, Sharma S, Gottumukkla V, Perez B, Slaymaker E, Wiley J. Transient neurologic symptoms after spinal anesthesia with lidocaine in obstetric patients. Anesth Analg 2001;92:405-409.
23. Aouad M, Siddik S, Jalbout M, Baraka A. Does pregnancy protect against intrathecal lidocaine-induced transient neurologic symptoms. Anesth Analg 2001;92:401-404.
24. Freedman J, Li D, Drasner K, Jaskela M, Larsen B, Wi S. Risk factors for transient neurologic symptoms after spinal anesthesia. Anesthesiology 1998;89:633-641.
25. Beardsley D, Holman S, Gantt R, Robinson R, Lindsey J, Bazaral M, Stewart S, Stevens R. Transient neurologic deficit after spinal anesthesia: Local anesthetic maldistribution with pencil point needles? Anesth Analg 1995;81:314-320.
26. Naveira FA, Copeland S, Anderson M, Speight K, Rauck R. Transient neurologic toxicity after spinal anesthesia, or is it myofascial pain? Two case reports. Anesthesiology 1998;88:268-270.
27. Dahlgren N. Transient radicular irritation after spinal anaesthesia - Reply 2. Acta Anaesthesiol Scand 1996;40:865.
28. Frey K, Holman S, Mikat-Stevens M, Vazquez J, White L, Pedicini E, Sheikh T, Kao TC, Stevens R. The recovery profile of hyperbaric spinal anesthesia with lidocaine, tetracaine and bupivacaine. Reg Anesth Pain Med 1998;23:159-163.
29. Ready L, Plumer M, Haschke R. Neurotoxicity of intrathecal local anesthetics in rabbits. Anesthesiology 1985;63:364-370.
30. Lambert L, Lambert D, Strichartz G. Irreversible conduction block in isolated nerve by high concentrations of local anesthetics. Anesthesiology 1994;80:1082-1093.
31. Bainton C, Strichartz G. Concentration dependence of lidocaine-induced irreversible conduction loss in frog nerve. Anesthesiology 1994;81:657-667.
32. Pollock J, Burkhead D, Neal J, Liu S, Friedman A, Stephenson C, Polissar N. Spinal nerve function in five volunteers experiencing transient neurologic symptoms after lidocaine subarachnoid anesthesia. Anesth Analg 2000;90:658-665.