References

McGrady EM, Davis AG Anaesthesia 1988 Oct;43(10):867-9 Spina bifida occulta and epidural anaesthesia.

Yuen EC, Layzer RB, Weitz SR, Olney RK Neurology 1995 Oct; 45(10): 1795-801 Neurological complications of lumbar epidural anesthesia and analgesia.

Butler R, Fuller J Can J Anaesth 1998 Aug;45(8):724-8 Back pain following epidural anaesthesia in labour.

Rocco AG, Philip JH, Boas RA, Scott D Reg Anesth 1997 Mar-Apr; 22(2):167-77 Epidural space as a Starling resistor and elevation of inflow resistance in a diseased epidural space.

Costigan SN, Sprigge JS Acta Anaesthesiol Scand 1996 Jul;40(6):710-4 Dural puncture: the patients' perspective. A patient survey of cases at a DGH maternity unit 1983-1993.

MacArthur C, Lewis M, Knox EG BMJ 1993 Apr 3;306(6882):883-5 Accidental dural puncture in obstetric patients and long term symptoms

Vartis A, Collier CB, Gatt SP Anaesth Intensive care 1998 Jun;26(3):256-61 Potential intrathecal leakage of solutions injected into the epidural space following combined spinal epidural anaesthesia.

Muir HA Department of Anaesthesia, Dalhousie University, Nova Scotia, Canada, " Epidural Misadventures; A review of the risk and complications."

With reference to: University of Queensland Internet site "Neurological Complications of epidurals"

Hampl KF, Schneider MC, Pargger H, Gut J, Drewe J, Drasner K Anesth Analg 1996 Nov;83(5):1051-4 A similar incidence of transient neurologic symptoms after spinal anesthesia with 2% and 5% lidocaine.

Dahlgren N, Acta Anaesthesiol Scand 1998 42(4):389-390 Lidocaine toxicity: a technical knock-out below the waist?

MacArthur C, Lewis M, Knox EG, Crawford JS BMJ 1990 Jul 7;301(6742):9-12 Epidural anaesthesia and long term backache after childbirth.

MacArthur C, Lewis M, Knox EG BMJ 1992 May 16;304(6837):1279-82 Investigation of long term problems after obstetric epidural anaesthesia.

Macarthur A, Macarthur C, Weeks S BMJ 1995 Nov 18;311(7016):1336-9 Epidural anaesthesia and low back pain after delivery: a prospective cohort study.

Macarthur AJ, Macarthur C, Weeks SK Anesth Analg 1997 Nov;85(5):1066-70 Is epidural anesthesia in labor associated with chronic low back pain? A prospective cohort study.

Russell R, Dundas R, Reynolds F BMJ 1996 Jun 1;312(7043):1384-8 Long term backache after childbirth: prospective search for causative factors.

Russell R, Groves P, Taub N, O'Dowd J, Reynolds F BMJ 1993 May 15;306(6888):1299-303 Assessing long term backache after childbirth.

Pleym H, Spigset O Acta Anaesthesiol Scand 1997 Apr;41(4):453-60 Peripheral neurologic deficits in relation to subarachnoid or epidural administration of local anesthetics for surgery. A survey of 21 cases.

Palot M Visseaux H Botmans C, Pire JC Cah Anesthesiol 1994;42(2):229-33 [Epidemiology of complications of obstetrical analgesia]

Sghirlanzoni A, Marazzi R, Pareyson D, Olivieri A, Bracchi M Anaesthesia 1989 Apr;44(4):317-321 Epidural anaesthesia and spinal arachnoiditis.

Vandermeulen E, Gogarten W, Van Aken H Anaesthetist 1997 Sep;46 Suppl 3: S179-S186 [Risks and complications following peridural anesthesia]

Haisa t, Todo T, Mitsui I, Kondo T Neuro Med Chir(Tokyo) 1995 Feb;35(2):107-9 Lumbar adhesive arachnoiditis following attempted epidural anesthesia case report

Torres D, Bauso Toselli L, Vecchi E, Leiguarda R, Doctorovich D, Merello M, Guevara J, Nogues M Medicina (B Aires) 1993;53(5):391-396 [Spinal arachnoiditis as a complication of peridural anesthesia]

Sklar EM, Quencer RM, Green BA, Montalvo BM, Post MJ Radiology 1991 Nov;18(2):549-554 Complications of epidural anesthesia: MR appearances of abnormalities

Nogues MA, Merello M, Leiguarda R, Guevara J, Figari A Eur Neurol 1992;32(2):99-101 Subarachnoid and intramedullary cysts secondary to epidural anesthesia for gynecological surgery

Tseng SH, Lin SM Clin Neurol Neurosurg 1997 Dec; 99(4): 256-8 Surgical treatment of thoracic arachnoiditis with multiple subarachnoid cysts caused by epidural anesthesia.

Breivik H Tidsskr Nor Laegeforen 1998 Apr 30;118(11):1708-16 [Complications during and after surgery and childbirth where spinal or epidural analgesia is used. Guidelines for safe practice].

Durbridge J, Holdcroft A Baillieres Clin Obstet Gynaecol 1998 Sep;12(3):485-98 The long-term effects of analgesia in labour.

MacArthur C, Lewis M, Knox EG, Crawford JS BMJ 1990 Jul 7;301(6742):9-12 Epidural anaesthesia and long term backache after childbirth.

Table of Contents

Introduction
TOXICITY OF LOCAL ANAESTHETICS
PREVIOUS SPINAL PROBLEMS
DURAL PUNCTURE
NEUROLOGICAL COMPLICATIONS OF EPIDURAL ANAESTHESIA
SHORT-TERM COMPLICATIONS
BACK PAIN FOLLOWING EPIDURAL ANAESTHESIA
LONG-TERM NEUROLOGICAL COMPLICATIONS
ARACHNOIDITIS CASES
CONCLUSIONS
References