Jawad Khan, Sarfraz Khan Janjua, Noureen Jawad.
Prolonged unilateral neurological deficit of lower limb after spinal anaesthesia for lower segment cesarean section.
Pak Armed Forces Med J Jan ;58(4):476-9.

Over the past few years, spinal anaesthesia has almost practically replaced general anaesthesia for caesarean sections. Severe neurological deficits after spinal anaesthesia are rare. In a prospective study of 40,640 cases of spinal anaesthesia, the authors reported an incidence rate of serious neurological deficits of 0.5 per 10,000 (confidence interval 0.2-1.1 per 10,000) [1]. Neurological complaints are mostly due to factors associated with prolonged labour and delivery. However the majority of complications were attributed to contamination of needles, toxic drug reactions or due to subarachnoid injection of large doses of local anaesthetics. Here we are reporting a unique complication of spinal anaesthesia resulting in prolonged unilateral neurological deficit.

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