Regional Anesthesia in the Patient with Preexisting Neurological Disease

  • Rafael Justiz
  • Alexander F. Bautista


Regional anesthesia has always provided benefits for patients undergoing surgical procedures. However, in patients with preexisting neurological diseases, there has been controversy surrounding whether regional anesthesia is beneficial or harmful. Using regional anesthesia with these individuals often places them at greater risk for neurological injury, and predisposes the patient to worsening disease processes, which can potentially be debilitating for the patient. Consequently, many practitioners avoid regional anesthetics in these patients, and they are often treated conservatively. The goal of this chapter is to summarize the evidence to date in order to guide physicians in their decision-making and to provide the best care possible to patients with preexisting neurologic conditions undergoing regional anesthesia.


Regional anesthesia Neurologic diseases Peripheral nerve blockade Multiple sclerosis Amyotrophic lateral sclerosis Diabetic polyneuropathy Guillain-Barre syndrome (GBS) Spinal cord injury Spinal stenosis Post-laminectomy syndrome 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rafael Justiz
    • 1
    • 2
  • Alexander F. Bautista
    • 2
  1. 1.Oklahoma Pain PhysiciansOklahoma CityUSA
  2. 2.Department of AnesthesiologyUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA

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