From the Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; and Division of Neuromuscular Disorders, Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts.
Anesth Analg. 2015 Jan;120(1):141-148. doi: 10.1213/ANE.0000000000000452.
Neurological complications after labor and delivery are most often caused by compressive trauma related to childbirth and rarely related to neuraxial anesthesia/analgesia. However, it is important for anesthesiologists to be able to recognize the common manifestations of these neuropathies in order to distinguish them from more ominous causes of neurologic disease. In this article, we review the anatomy and etiology of postpartum thoracolumbar spinal cord, lumbar nerve roots, plexus, and lower extremity peripheral nerve injuries. We will focus on a practical approach to their diagnosis, management, and treatment. Cases will be used to illustrate diagnosis and management.
分娩后神经并发症通常是由分娩相关的压迫性创伤引起，很少与脊麻/镇痛相关。然而，麻醉师能够识别这些神经病变的常见表现对于将其与更严重的神经疾病原因区分开来非常重要。在本文中，我们回顾了产后胸腰椎脊髓、腰神经根、丛和下肢周围神经损伤的解剖学和病因。我们将重点介绍其诊断、管理和治疗的实用方法。将使用病例来说明诊断和管理。
