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This case-based review will explain the differences in the neuraxial procedures: epidural, spinal and combined spinal epidural; their advantages and disadvantages, why one technique might be chosen over another, contraindications as well as procedural risks.<\/jats:p>","DOI":"10.1136\/practneurol-2018-002081","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T01:24:54Z","timestamp":1550107494000},"page":"238-245","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Obstetric anaesthesia: what a neurologist needs to know"],"prefix":"10.1136","volume":"19","author":[{"given":"Mary Angela","family":"O\u2019Neal","sequence":"first","affiliation":[{"name":"Department of Neurology, Brigham and Women\u2019s Hospital, Roslindale, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,12]]},"reference":[{"key":"2025090411571013000_19.3.238.1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199807010-00005"},{"key":"2025090411571013000_19.3.238.2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000196687.88590.6b"},{"key":"2025090411571013000_19.3.238.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF03021057"},{"key":"2025090411571013000_19.3.238.4","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.aat.2015.01.003","article-title":"A comparison of spinal and epidural anesthesia for cesarean section following epidural labor analgesia: a retrospective cohort study","volume":"53","author":"Huang","year":"2015","journal-title":"Acta Anaesthesiol Taiwan"},{"key":"2025090411571013000_19.3.238.5","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000763"},{"key":"2025090411571013000_19.3.238.6","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000253"},{"key":"2025090411571013000_19.3.238.7","first-page":"279","article-title":"Incidence of postpartum lumbosacral spine and lower extremity nerve injuries","volume":"101","author":"Wong","year":"2003","journal-title":"Obstet Gynecol"},{"key":"2025090411571013000_19.3.238.8","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000455"},{"key":"2025090411571013000_19.3.238.9","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/00003643-201106001-00520","article-title":"Atypical presentation of post dural puncture headache in the obstetric population: how frequent is it ?","volume":"28","author":"Loures","year":"2011","journal-title":"Eur J Anaesthesiol"},{"key":"2025090411571013000_19.3.238.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2010.01758.x"},{"key":"2025090411571013000_19.3.238.11","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.2.321"},{"key":"2025090411571013000_19.3.238.12","doi-asserted-by":"crossref","first-page":"90???91","DOI":"10.1213\/00000539-199107000-00017","article-title":"Anterior spinal artery syndrome after epidural anesthesia in a pregnant diabetic patient with scleredema","volume":"73","author":"Eastwood","year":"1991","journal-title":"Anesth Analg"},{"key":"2025090411571013000_19.3.238.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2007.04992.x"},{"key":"2025090411571013000_19.3.238.14","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/29.1.49"},{"key":"2025090411571013000_19.3.238.15","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.ncl.2012.06.004","article-title":"Neurologic complications in the patient receiving obstetric anesthesia","volume":"30","author":"Kowe","year":"2012","journal-title":"Neurol Clin"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/practneurol-2018-002081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T18:57:18Z","timestamp":1757012238000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/practneurol-2018-002081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,12]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,5,21]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/practneurol-2018-002081"],"URL":"https:\/\/doi.org\/10.1136\/practneurol-2018-002081","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"type":"print","value":"1474-7758"},{"type":"electronic","value":"1474-7766"}],"subject":[],"published":{"date-parts":[[2019,2,12]]}}}