Academic Journal

Postpartum peripheral neuropathy due to vitamin B12 deficiency, potentially precipitated by nitrous oxide use

التفاصيل البيبلوغرافية
العنوان: Postpartum peripheral neuropathy due to vitamin B12 deficiency, potentially precipitated by nitrous oxide use
المؤلفون: Greenstein, A. M., Sherratt, K., Mangwiro, R.
المصدر: Anaesthesia Reports ; volume 11, issue 1 ; ISSN 2637-3726 2637-3726
بيانات النشر: Wiley
سنة النشر: 2023
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Summary Neurological dysfunction which would concern the anaesthetist on labour ward is typically associated with neuraxial blocks. However, an appreciation of other causes is crucial. We present a case of peripheral neuropathy secondary to vitamin B12 deficiency, which highlights the importance of a thorough neurological examination, alongside an understanding of neurological pathophysiology. This is crucial for initiating appropriate referral, subsequent investigations and treatment. Neurological dysfunction secondary to vitamin B12 deficiency may be reversible, following prolonged rehabilitation, so prevention is the best approach, which may require modification of anaesthetic techniques. In addition, at‐risk patients should be screened and treated prior to nitrous oxide use, with alternative methods of labour analgesia advised in very high‐risk individuals. The incidence of vitamin B12 deficiency may increase in the future potentially linked to a rise in plant‐based diets, so this picture may be more commonly seen. Added vigilance by the anaesthetist is imperative.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1002/anr3.12229
الاتاحة: http://dx.doi.org/10.1002/anr3.12229
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
رقم الانضمام: edsbas.FC96EB08
قاعدة البيانات: BASE