Aracnoiditis postanestesia raquídea para cesárea / Arachnoiditis Following Spinal Anesthesia for Cesarean Section

RESUMEN

Se reporta un caso de aracnoiditis tras anestesia subaracnoidea para cesárea que cursa con paraparesia, dolor lumbar e hipertensión arterial. Al paciente se le diagnostica aracnoiditis con criterios clínicos e imaginológicos 8 días después de recibir anestesia subaracnoidea para cesárea. Presenta emergencia hipertensiva, se descarta preeclampsia posparto. Posiblemete esta presentación se relacione con inhibición de centros reguladores medulares. Se trató con dexametasona sistémica. La paciente presenta recuperación completa de sus síntomas en el curso de 10 días, sin recaídas en más de 1 año de seguimiento.

ABSTRACT

We report a case of arachnoiditis following subarachnoidal anesthesia for Cesarean section, with paraparesis, lumbar pain and arterial hypertension. The patient was diagnosed with arachnoidits on the basis of the clinical and imaging findings eight days after receiving subarachnoidal anesthesia for a C-section. She presented with emergent hypertensive crisis, and post-partum pre-eclampsia is ruled out. This presentation might be related with the inhibition of spinal regulatory centers. She was treated with systemic dexamethasone. The patient was totally symptom-free within 10 days and went on to recover fully and has been well during more than one year of follow-up.