Transient lower cranial nerve palsies following spinal anesthesia with bupivacaine-fentanyl combination for transurethral resection of the prostate

The Pan African Medical Journal

Ali Akhaddar¹  Youssef Darouassi²  Mohcine Salami³ 

[1] Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco;University of Mohammed V Souissi, Rabat, Morocco;;

关键词: dysphagia;    dysphonia;    neurologic complication;    spinal anesthesia;    fentanyl;    bupivacaine;   

DOI  :  10.11604/pamj.2020.35.62.4005

来源: DOAJ

【 摘 要 】

Spinal anesthesia is a widely used regional anesthesia for many infra-umbilical surgical procedures with proven efficacy and safety. However, although rare, some neurologic complications can occur with potentially life threatening consequences. Among them, lower cranial nerve palsies have been rarely reported in the literature. We report such a case in a 75-year-old man with transient dysphagia, dysphonia and spinal accessory nerve palsy occurring four days after spinal anesthesia for transurethral resection of the prostate. His symptoms completely resolved spontaneously within 2 weeks. The possibility of lower cranial nerve palsies should be added to the potential complications during or following spinal anesthesia with bupivacaine-fentanyl combination. Although transitional, this complication may occur few days after the procedure and need to be promptly recognized, carefully evaluated and treated by conservative measures.

【 授权许可】

Unknown