Transient neurologic syndrome and combined spinal-epidural anaesthesia: Evidence of toxicity from local anaesthetic? Síndrome neurológico transitorio y anestesia espinal-epidural combinada: ¿expresión de toxicidad por anestésico local?

Abstract

This article reports the case of a 39-year-old patient who underwent a local abdominal hysterectomy, Retropubic cystouretropexy as well as a posterior colporrhaphy under spinal anaesthetic, carried out with 0.5% hyperbaric bupivacaine and the use of peridural anaesthesia. When removing the peridural catheter  neurological syndromes presented themselves in the lower limbs. Transient neurologic syndrome (TNS) was diagnosed and monitored until the symptoms disappeared. It is important to understand that despite the benign evolution of this syndrome these symptoms are of interest, given that their real clinical impact is yet to be defined as the first reports only date back to 1993 and its impact varies widely. This article revises the current literature about TNS and also describes the main characteristics of this condition.