Repeated spinal anesthesia in a tetraparetic patient with Guillain-Barré syndrome

Marius Wipfli; Marcel Arnold; Martin Luginbühl

doi:10.1016/j.jclinane.2013.01.017

Repeated spinal anesthesia in a tetraparetic patient with Guillain-Barré syndrome

J Clin Anesth. 2013 Aug;25(5):409-412. doi: 10.1016/j.jclinane.2013.01.017. Epub 2013 Aug 17.

Authors

Marius Wipfli¹, Marcel Arnold², Martin Luginbühl³

Affiliations

¹ Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland. Electronic address: mariuswipfli@yahoo.com.
² Department of Neurology, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.
³ Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010 Bern, Switzerland.

PMID: 23965204
DOI: 10.1016/j.jclinane.2013.01.017

Abstract

A 78 year old man with tetraparesis, reduced forced vital capacity, and neurogenic bladder dysfunction due to Guillain-Barré syndrome was admitted for elective transurethral prostate resection and percutaneous lithotripsy of a bladder stone. On the sixth postoperative day, he was readmitted for emergency evacuation of a clot in the bladder. Both operations were performed with spinal anesthesia (hyperbaric bupivacaine + fentanyl) without neurologic sequelae.

Keywords: Anesthesia, spinal; Guillain-Barré syndrome; Tetraparesis.

Publication types

Case Reports

MeSH terms

Aged
Anesthesia, Spinal / methods*
Anesthetics, Local / administration & dosage
Bupivacaine / administration & dosage
Fentanyl / administration & dosage
Guillain-Barre Syndrome / complications*
Humans
Lithotripsy / methods*
Male
Quadriplegia / etiology
Transurethral Resection of Prostate / methods*
Urinary Bladder Calculi / therapy
Urinary Bladder, Neurogenic / etiology
Vital Capacity

Substances

Anesthetics, Local
Fentanyl
Bupivacaine