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Case Reports in Anesthesiology
Volume 2016 (2016), Article ID 3064373, 4 pages
http://dx.doi.org/10.1155/2016/3064373
Case Report

A Rare Case of C2 Sensory Blockade with Preserved Phrenic Nerve Function in an Obstetric Patient

Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA

Received 22 April 2016; Revised 27 June 2016; Accepted 13 July 2016

Academic Editor: Latha Hebbar

Copyright © 2016 John C. Coffman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient that remained hemodynamically stable and had the preserved ability to initiate breaths despite sensory blockade up to C2. The presence of differential motor and sensory block documented in this case helped enable the patient to be managed with noninvasive ventilatory support until the high blockade regressed and we are not aware of any other similar reports in literature.