Anästhesie und klinische Forschung
Offener Zugang

Abstrakt

Abnormal Prolonged Duration of Spinal Anesthesia in Patient with Multiple Sclerosis

Hadbi Mohamed, Benalakma Dalila, Ramzi Berbiche, Fatma Bouderbala, Fellah Nadia

Background: Local anesthetics act on demyelinated fibers by increasing the degree of conduction blockade already present in the demyelinated segments of multiple sclerosis.

Case report: We report an unusual prolongation of the duration of spinal anesthesia in a patient with MS, through this case and a review of the literature we discuss the causes of this incident and its relationship with demyelination, preventive measures and how to proceed in at-risk situations.

Conclusion: The excessive prolongation of spinal anesthesia beyond the conventional time frame is an uncommon but worrisome situation. Preoperative screening for neuropathy preoperative screening for neuropathy prompts to explore a conduction abnormality and informing the patient about the nervous toxicity risk of local anesthetics. ILE is probably a very interesting way to avoid their adverse effects