Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder
Combined spinal epidural (CSE) can provide excellent labor analgesia. Subdural block is also a potential but rare complication of attempted epidural placement during a CSE procedure, which may present as a block that is usually patchy in nature, with a component of sensory and/or motor deficit and a...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/751648 |
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| author | Hesham Elsharkawy Ashish K. Khanna Sabri Barsoum |
| author_facet | Hesham Elsharkawy Ashish K. Khanna Sabri Barsoum |
| author_sort | Hesham Elsharkawy |
| collection | DOAJ |
| description | Combined spinal epidural (CSE) can provide excellent labor analgesia. Subdural block is also a potential but rare complication of attempted epidural placement during a CSE procedure, which may present as a block that is usually patchy in nature, with a component of sensory and/or motor deficit and a variable duration of action. In addition, a conversion disorder or a functional neurological disorder has been described with epidural and spinal anesthesia in obstetric patients. In this clinical report, we describe a 33-year-old G4P3 at 40 weeks gestation that received an unintentional subdural block as part of her labor analgesia and after an uneventful caesarean delivery presented with a conversion disorder. The rarity of the association between a subdural block and a conversion disorder complicated by the fact that the neurological deficit produced by the subdural block and that produced by a conversion disorder are similar in distribution made the clinical presentation and diagnosis a challenge for the obstetric anesthesia team. A functional neurological disorder of this nature complicating a subdural block in an obstetric anesthesia clinical practice has not been described so far. |
| format | Article |
| id | doaj-art-af7fa28eb91f49b2ba8778fcc3c19112 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-af7fa28eb91f49b2ba8778fcc3c191122025-02-03T01:01:59ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/751648751648Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion DisorderHesham Elsharkawy0Ashish K. Khanna1Sabri Barsoum2Anesthesiology Institute and Outcomes Research, Cleveland Clinic Foundation, 9500, Euclid Avenue, Cleveland, Ohio, OH 44195, USAAnesthesiology Institute, Cleveland Clinic Foundation, 9500, Euclid Avenue, Cleveland, Ohio, OH 44195, USADivision of Obstetric Anesthesiology, Hillcrest Hospital, Cleveland Clinic Foundation, 6780, Mayfield Road, Mayfield Heights, Ohio, OH 44124, USACombined spinal epidural (CSE) can provide excellent labor analgesia. Subdural block is also a potential but rare complication of attempted epidural placement during a CSE procedure, which may present as a block that is usually patchy in nature, with a component of sensory and/or motor deficit and a variable duration of action. In addition, a conversion disorder or a functional neurological disorder has been described with epidural and spinal anesthesia in obstetric patients. In this clinical report, we describe a 33-year-old G4P3 at 40 weeks gestation that received an unintentional subdural block as part of her labor analgesia and after an uneventful caesarean delivery presented with a conversion disorder. The rarity of the association between a subdural block and a conversion disorder complicated by the fact that the neurological deficit produced by the subdural block and that produced by a conversion disorder are similar in distribution made the clinical presentation and diagnosis a challenge for the obstetric anesthesia team. A functional neurological disorder of this nature complicating a subdural block in an obstetric anesthesia clinical practice has not been described so far.http://dx.doi.org/10.1155/2013/751648 |
| spellingShingle | Hesham Elsharkawy Ashish K. Khanna Sabri Barsoum Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder Case Reports in Medicine |
| title | Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder |
| title_full | Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder |
| title_fullStr | Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder |
| title_full_unstemmed | Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder |
| title_short | Caesarean Delivery Complicated by Unintentional Subdural Block and Conversion Disorder |
| title_sort | caesarean delivery complicated by unintentional subdural block and conversion disorder |
| url | http://dx.doi.org/10.1155/2013/751648 |
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