Neurologic complications following neuraxial anesthesia for cesarean delivery are rare. We present a 33-year-old parturient who developed prolonged lower extremity weakness following a single-shot subarachnoid block for cesarean delivery. After neurologic evaluation, she was diagnosed with bilateral sciatic neuropathies due to prolonged positioning for the anesthetic. We review the incidence of nerve injury associated with neuraxial anesthesia and risk factors for developing peripheral nerve injury in this context. We offer a solution to prevent this complication from occurring.
From the Departments of *Anesthesia
†Gynecology and Obstetrics
‡Neurology, Brooke Army Medical Center, San Antonio, Texas.
Accepted for publication March 18, 2019.
The authors declare no conflicts of interest.
The views expressed are those of the authors and do not reflect the official views or policy of the Department of Defense or its components.
Address correspondence to Bradley A. Reel, MD, Department of Anesthesia, Brooke Army Medical Center, 3551 Roger Brooke Dr, San Antonio, TX 78234. Address e-mail to firstname.lastname@example.org.