Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942004000100015
Brazilian Journal of Anesthesiology
Review Article

Sintomas neurológicos transitórios após raquianestesia

Transient neurological symptoms after spinal anesthesia  

Pedro Paulo Tanaka; Maria Aparecida Almeida Tanaka

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Resumo

JUSTIFICATIVA E OBJETIVOS: Os sintomas neurológicos transitórios têm sido descritos em pacientes submetidos à raquianestesia sem outras complicações, após completa recuperação do bloqueio espinhal. Este estudo tem por objetivo apresentar uma revisão sobre o assunto. CONTEÚDO: São apresentados a história, incidência, possíveis etiologias, fatores de risco e tratamento dos sintomas neurológicos transitórios. CONCLUSÕES: A raquianestesia é bastante segura e a incidência destes sintomas é relativamente baixa, não justificando o abandono da técnica anestésica, bem como o uso da lidocaína.

Palavras-chave

ANESTÉSICOS, Local, COMPLICAÇÕES, TÉCNICAS ANESTÉSICAS, Regional

Abstract

BACKGROUND AND OBJECTIVES: Transient neurological symptoms have been described in patients submitted to spinal anesthesia without other complications, after total spinal block recovery. This study aimed at reviewing this subject.
CONTENTS: Transient neurological symptoms history, incidence, possible etiologies, risk factors and treatment are presented.
CONCLUSIONS: Spinal anesthesia is a very safe procedure with a low incidence of these symptoms, not justifying abandoning the technique as well as lidocaine.

Keywords

ANESTHETICS, Local: lidocaine; ANESTHETIC TECHNIQUES; Regional: spinal block; COMPLICATIONS: transient neurologic symptoms

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