title: [Multiple sclerosis disclosed by spinal anesthesia].
abstract: A case is reported of an acute onset of previously undiagnosed multiple sclerosis, revealed by an oculomotor paralysis following spinal anaesthesia performed for minor orthopaedic surgery. The need for a complete preoperative physical examination is underlined by this case, looking for latent neuromuscular disorders before undertaking such techniques, and for a thorough neurological work-up should such a complication arise. The harmlessness of regional anaesthesia in multiple sclerosis patients is controversial; without entering into such a debate, the direct relationship between spinal anaesthesia and acute exacerbation of the disease in our patient seemed more than likely.
authors.affiliation: Service d'Anesthésie-Réanimation, Hôpital de Gonesse.
authors.forename: P
authors.initials: P
authors.lastname: Levesque
authors.forename: T
authors.initials: T
authors.lastname: Marsepoil
authors.forename: P
authors.initials: P
authors.lastname: Ho
authors.forename: F
authors.initials: F
authors.lastname: Venutolo
authors.forename: J M
authors.initials: JM
authors.lastname: Lesouef
mesh_terms: D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D009103:Multiple Sclerosis / Q000175:diagnosis*; D010243:Paralysis / Q000209:etiology*; D011184:Postoperative Period
vernacular_title: Sclérose en plaques révélée par une rachianesthésie.