Lumbar Epidural Anesthesia in a Patient with Multiple Sclerosis

Abstract

Although spinal anesthesia has been implicated in postoperative exacerbation of multiple sclerosis (1, 2), no adverse effects have been reported in the relatively few patients in whom epidural anesthesia has been used (2, 3). The following is a case report of a patient with multiple sclerosis in whom a lumbar epidural block was performed on two separate occasions. Minor exacerbations of her disease state were noted following each epidural block.