• Reg Anesth Pain Med · Nov 1998

    Review

    Commentary: neurotoxicity of local anesthetics--an issue or a scapegoat?

    • D C Moore and G E Thompson.
    • Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington 98111-0900, USA.
    • Reg Anesth Pain Med. 1998 Nov 1;23(6):605-10.

    Background And ObjectivesTo evaluate the etiologies of cauda equina syndrome (CES) and transient radicular irritation (TRI) or transient neurologic symptoms (TNSs) following hyperbaric spinal anesthesia.MethodsA review of recent (since 1991) and prior (since 1941) investigations regarding CES and TRI (TNSs) was conducted.ResultsRecent publications fail to recognize significant prior information regarding CES and TRI (TNSs).ConclusionsCauda equina syndrome is, in all probability, explainable. Further investigation to pinpoint the etiology of TRI (TNSs) is needed.

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