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- Ashley V Wells, Michael Akerman, and Roniel Y Weinberg.
- From the Division of Regional Anesthesiology and Acute Pain Medicine, New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York.
- A A Pract. 2020 Jan 15; 14 (2): 51-53.
AbstractChronic inflammatory demyelinating polyneuropathy (CIDP) is a rare autoimmune disease that targets the peripheral nervous system. The literature on the use of regional anesthesia in CIDP is limited. We report a patient with CIDP who received a combined spinal-epidural (CSE) and saphenous and popliteal peripheral nerve blocks (PNBs) for ankle surgery. The CSE and PNBs resolved without incident. On approximately the fourth postoperative day, the patient reported a worsening of baseline CIDP symptoms in all extremities. Given the diffuse presentation, the CIDP exacerbation was attributed to the perioperative stress response. The exacerbation improved by 4 months postoperatively.
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