Anaesthesia in pregnant women with neurological disease

  • G. Lyons
Conference paper


Neurological disease in pregnancy is relatively uncommon. When it occurs the nature of the problem it creates is dependent on the specific condition. Chronic progressive disorders, like multiple sclerosis, will present in the anaesthetic antenatal clinic, where essentially an exchange of information is required. Acute onset of epilepsy in labour tends to present a problem of diagnosis. Some forms of stroke can be mistaken for complications of anaesthesia, and, in turn, neurological complications of delivery can present diagnostic difficulties for the inexperienced. Some conditions like Bell’s palsy seem to be more common peripartum, while others occur purely coincidentally. From this it is clear that a simple classification with suggestions for management will not suffice. It must also be recognized that an ability to conduct a simple neurological history and examination is an essential skill of the obstetric anaesthetist, if mistakes and confusion are to be avoided. This review will attempt to concentrate on the problems that present to the anaesthetist when neurological pathology and anaesthesia interact.


Multiple Sclerosis Carpal Tunnel Syndrome Epidural Analgesia Guillain Barre Syndrome Facial Paralysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Italia 2003

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  • G. Lyons

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