Neuraxial Anesthesia and Lower Extremity Peripheral Nerve Blocks for Ankle Surgery in a Patient With Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report

被引：3

作者：

Wells, Ashley, V ^{[1
]}

Akerman, Michael ^{[1
]}

Weinberg, Roniel Y. ^{[1
]}

机构：

[1] Weill Cornell Med, New York Presbyterian Hosp, Div Reg Anesthesiol & Acute Pain Med, New York, NY USA

来源：

A & A PRACTICE | 2020年 / 14卷 / 02期

关键词：

REGIONAL ANESTHESIA; POLYRADICULONEUROPATHY; ANALGESIA;

D O I：

10.1213/XAA.0000000000001140

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare autoimmune disease that targets the peripheral nervous system. The literature on the use of regional anesthesia in CIDP is limited. We report a patient with CIDP who received a combined spinal-epidural (CSE) and saphenous and popliteal peripheral nerve blocks (PNBs) for ankle surgery. The CSE and PNBs resolved without incident. On approximately the fourth postoperative day, the patient reported a worsening of baseline CIDP symptoms in all extremities. Given the diffuse presentation, the CIDP exacerbation was attributed to the perioperative stress response. The exacerbation improved by 4 months postoperatively.

引用

页码：51 / 53

页数：3

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