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 CASE REPORT
Year : 2006  |  Volume : 54  |  Issue : 4  |  Page : 425--427

Transverse myelitis following spinal anesthesia


Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, UP, India

Correspondence Address:
Sanjeev Jha
Department of Neurology, Sanjay Gandhi PGIMS, Lucknow
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.28121

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Spinal anesthesia is widely used during surgical procedures. It is generally safe and the frequency of severe, permanent neurological complications associated with it has been reported to be extremely low. We report a patient, who developed paraplegia following spinal anesthesia. A 29-year-old male was referred with acute, flaccid, sensory motor paraplegia, with bladder and bowel involvement. He developed this immediately after an operation for inguinal hernia under spinal anesthesia. Spinal magnetic resonance imaging revealed hemorrhagic myelitis in the conus at D12. He was referred after he did not respond to intravenous methylprednisolone for 10 days. This case brings up the difficulty encountered in determination of the interspace used for spinal anesthesia and the potential for traumatic injury to the spinal cord. It also demonstrates the tragic outcome after a clinician violates some important, standard and established guidelines.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow