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Epidural analgesia in labour for a patient with hereditary neuropathy with liability to pressure palsy.

Abstract：

:Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare but probably under-diagnosed disorder of peripheral nerves in which individuals suffer from repeated motor and sensory neuropathies (pressure palsies) following brief nerve compression or mild trauma. A seemingly trivial insult such as sitting or kneeling may result in a focal neurological deficit lasting for hours to months. Despite the growing recognition of this problem, information regarding the anaesthetic management of labour is sparse. We present a woman with HNPP who was provided with a modified epidural regimen (low concentration bupivacaine and fentanyl) for analgesia in labour and delivery. Labour progressed uneventfully and there were no neurological sequelae following delivery.

journal_name

Int J Obstet Anesth

journal_title

International journal of obstetric anesthesia

authors

Lepski GR,Alderson JD

doi

10.1054/ijoa.2000.0828

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

198-201

issue

3

eissn

0959-289X

issn

1532-3374

pii

S0959-289X(00)90828-8

journal_volume

10

pub_type

杂志文章

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