Acute transverse myelitis after thoracic epidural anesthesia and analgesia: Should anesthesia and analgesia be blamed?
Journal
Acta Anaesthesiologica Taiwanica
Journal Volume
51
Journal Issue
1
Pages
37-39
Date Issued
2013
Author(s)
Abstract
A 63-year-old man developed acute transverse myelitis (ATM) with a rapid progression of sensory and motor deficits and autonomic dysfunction 2 days after chest surgery. Thoracic epidural anesthesia/analgesia (TEA) had been administered in this case. Since the temporal and spatial relationships between TEA and ATM are so close, one may easily mistake the TEA as the cause. Therefore, we discuss here the differential diagnoses for cord damage after TEA and the characteristics of ATM, and suggest that it is unlikely that TEA is the cause of ATM in this case. Copyright ? 2013, Taiwan Society of Anesthesiologists. Published by Elsevier Taiwan LLC. All rights reserved.
SDGs
Other Subjects
C reactive protein; fentanyl; methylprednisolone; rheumatoid factor; adult; analgesia; article; autonomic dysfunction; bispectral index; case report; epidural drug administration; epidural space; error; evoked muscle response; evoked somatosensory response; feces incontinence; general anesthesia; human; leukocytosis; magnetic stimulation; male; motor performance; myelitis; neuropathic pain; thorax epidural anesthesia; urine incontinence; Acute Disease; Analgesia, Epidural; Anesthesia, Epidural; Evoked Potentials, Motor; Evoked Potentials, Somatosensory; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Myelitis, Transverse
Type
journal article