Anaesthetic management of an obstetric patient with idiopathic acute transverse myelitis.
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.
Walsh
P
P
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK. walshdoc69@ukonline.co.uk
Grange
C
C
Beale
N
N
D000208:Acute Disease; D000328:Adult; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D003865:Major Depressive Disorder / Q000150:complications; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D009188:Myelitis, Transverse / Q000150:complications*; D009467:Neuromuscular Depolarizing Agents; D010146:Pain / Q000150:complications; D010149:Postoperative Pain / Q000188:drug therapy; D011247:Pregnancy; D013390:Succinylcholine
D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine