Neurological complications may complicate regional anesthesia. The incidence has been reported as 0–36 per 10 000 blocks after epidural anesthesia and 35 per 10 000 blocks after spinal anesthesia. Occasionally, urgent investigation and treatment is required in consultation with a neurologist. This article serves as a quick reference checklist on neurological complications of labor. KEY POINTS Neurological problems in the postpartum period are most commonly due to obstetric causes.
Nerve root damage can be caused by direct trauma from a needle or catheter. The conus medullaris terminates at a variable level and Tuffier’s line is not reliable. Serious neurological sequelae are rare but need urgent assessment. An epidural haematoma or abscess requires early appropriate treatment to prevent permanent neurological sequelae. NERVE INJURIES Post-partum lower limb nerve injuries Lateral…
