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Vol. 37. Issue 1.
Pages 71-78 (February - April 2009)
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Vol. 37. Issue 1.
Pages 71-78 (February - April 2009)
ARTÍCULO DE REVISIÓN
Open Access
Lesión nerviosa periférica secundaria a anestesia regional subaracnoidea en paciente ginecobstétrica: Reporte de un caso
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José Ricardo Navarro Vargas
, Jorge A. Luquetta Berrio**, Etelberto Tejada López**
* Profesor asociado Anestesiología y reanimación. Universidad Nacional de Colombia.
** Estudiante de postgrado Anestesiología y reanimación. Universidad Nacional de Colombia.
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RESUMEN

La incidencia de neuropatía después de anestesia regional (subaracnoidea y epidural) es una complicación neurológica infrecuente. Su manejo inadecuado contribuye al desarrollo de secuelas neurológicas permanentes.

Posterior a anestesia neuroaxial para cesárea, una paciente presentó neuropatía de su miembro inferior izquierdo luego de varias punciones con aguja Quincke® N° 27. La paciente procede de un área rural de Ubaté – Cundinamarca, y no cumplió las recomendaciones para el manejo de su neuropatía prolongada quizás debido a sus condiciones socioculturales.

Los autores hacen una revisión de la literatura sobre lesiones neurológicas después de anestesia regional.

Palabras claves:
anestesia subaracnoidea
complicaciones neurológicas
nervio isquiático
neuropatía de miembro inferior
lesión de nervio periférico
SUMMARY

The incidence of neuropathy following regional anesthesia (subarachnoid and epidural anesthesia) is a very infrequent neurological complication. Its inadequate management contributes to the development of permanent neurological sequelas.

A patient after neuraxial anesthesia for cesarean delivery presented left lower extremity neuropathy associated with several punctions of Quincke® needle number 27. The patient lives in a rural area of Ubaté-Cundinamarca, and she didn't follow the recommendations for the management of her prolonged neuropathy, maybe because of her social and culturales conditions.

The authors made a review of the literature on neurological injuries after regional anesthesia

Key words:
Subarachnoid anesthesia
Neurological complications
Ciatic nerve
Lower extremity neuropathy
Peripheral nerve injury
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Copyright © 2009. Revista Colombiana de Anestesiología
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