[Multiple sclerosis disclosed by spinal anesthesia].
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.
Levesque
P
P
Service d'Anesthésie-Réanimation, Hôpital de Gonesse.
Marsepoil
T
T
Ho
P
P
Venutolo
F
F
Lesouef
J M
JM
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
Sclérose en plaques révélée par une rachianesthésie.