Cervical epidural anesthesia in post stroke patients: are we safe?

The role of regional anesthetic techniques such as cervical epidural and inter-scalene brachial plexus blockade (ISB) in rehabilitated stroke patients remains uncertain. We present a case of rehabilitated stroke patient with reactive airway disease, which was managed using cervical epidural anesthesia for an above the elbow amputation. We further discuss the implications of the performance of cervical epidural anesthesia in post stroke patients.