Anaesthetic management of an obstetric patient with idiopathic acute transverse myelitis

International Journal of Obstetric Anesthesia
P WalshN Beale

Abstract

Idiopathic acute transverse myelitis is a rare focal inflammatory disorder of the spinal cord causing motor, sensory and autonomic dysfunction. We report the successful use of general anaesthesia for caesarean section in a patient with this disease. Potential anaesthetic concerns include autonomic dysreflexia and hyperkalaemia following the use of suxamethonium. Further complicating issues with this patient included psychotic depression and new-onset neuropathic pain on a background of chronic pain symptoms.

References

May 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E Crosby
Aug 1, 1986·Paraplegia·W H Verduyn
Mar 1, 1974·Anesthesiology·G A Gronert, R A Theye
Jul 1, 1993·Anaesthesia·R L Hughes
Nov 30, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D N LucasD P Dob
Sep 11, 2003·Journal of Neurotrauma·Andrei V KrassioukovMichael G Fehlings

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Citations

Sep 14, 2010·International Journal of Obstetric Anesthesia·S ThomasM Rosengarten
Oct 4, 2013·The Journal of Trauma and Acute Care Surgery·Julio C Furlan
Nov 5, 2010·Current Opinion in Obstetrics & Gynecology

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