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. 2001 Jul;10(3):198-201.
doi: 10.1054/ijoa.2000.0828.

Epidural Analgesia in Labour for a Patient With Hereditary Neuropathy With Liability to Pressure Palsy

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Epidural Analgesia in Labour for a Patient With Hereditary Neuropathy With Liability to Pressure Palsy

G R Lepski et al. Int J Obstet Anesth. .

Abstract

Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare but probably under-diagnosed disorder of peripheral nerves in which individuals suffer from repeated motor and sensory neuropathies (pressure palsies) following brief nerve compression or mild trauma. A seemingly trivial insult such as sitting or kneeling may result in a focal neurological deficit lasting for hours to months. Despite the growing recognition of this problem, information regarding the anaesthetic management of labour is sparse. We present a woman with HNPP who was provided with a modified epidural regimen (low concentration bupivacaine and fentanyl) for analgesia in labour and delivery. Labour progressed uneventfully and there were no neurological sequelae following delivery.

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