Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Jul;28(3):374-7.
doi: 10.4103/0970-9185.98349.

Intraoperative neurological event during cesarean section under spinal anesthesia with fentanyl and bupivacaine: Case report and review of literature

Bikash Ranjan Ray  1 , Dalim Kumar Baidya, Deepak Mathew Gregory, Rani Sunder
Affiliations
Case Reports

Intraoperative neurological event during cesarean section under spinal anesthesia with fentanyl and bupivacaine: Case report and review of literature

Bikash Ranjan Ray et al. J Anaesthesiol Clin Pharmacol. 2012 Jul.

Abstract

Neurological events similar to transient ischemic attack in a peripartum woman are uncommon. Cerebral complications of preeclampsia, thrombo-embolic phenomena, or high spinal can mimic such situations. Spinal anesthesia with local anesthetic and opioid is an established anesthetic technique for cesarean section. Although intrathecal opioids are safe for both the mother and fetus; some unusual complications such as dysphagia alone or associated with facial numbness, aphasia, have been reported. We report a case of transient aphonia and tingling sensation over the face without any dysphagia after intrathecal administration of bupivacaine and fentanyl for cesarean section.

Keywords: Cesarean section; neurological event; spinal anesthesia.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Hamilton CL, Cohen SE. High sensory block after intrathecal sufentanil for labor analgesia. Anesthesiology. 1995;83:1118–21. - PubMed
    1. Cohen SE, Cherry CM, Holbrook RH, El-Sayed YY, Gibson RN, Jaffe RA. Intrathecalsufentanil for labor analgesia-sensory changes, side effects, and fetal heart rate changes. AnesthAnalg. 1993;77:1155–60. - PubMed
    1. Currier DS, Levin KR, Campbell C. Dysphagia with intrathecal fentanyl. Anesthesiology. 1997;87:1570–1. - PubMed
    1. Fragneto RY, Fisher A. Mental status change and aphasia after labor analgesia with intrathecal sufentanil/bupivacaine. Anesth Analg. 2000;90:1175–6. - PubMed
    1. Kuczkowki KM, Goldsworthy M. Transient aphonia and aphagiain a parturient after induction of combined spinal-epidural labor analgesia with subarachnoid fentanyl and bupivacaine. Acta Anaesth Belg. 2003;54:165–6. - PubMed

Publication types