Transverse Myelitis

Luković, Elvedin; Mankowitz, Suzanne K. W.

doi:10.1007/978-3-319-59680-8_167

Cited by 1 publication

(3 citation statements)

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“…Patients with TM may require the administration of succinylcholine since they are more sensitive to muscle relaxants than healthy patients. Further, patients who present for surgery with symptoms of acute TM may develop hemodynamic instability due to autonomic dysfunction [ 8 ]. Acute spinal shock leading to hypotension as well as hypertension and bradycardia are anticipated complications under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…The inflammatory nature of TM and BD may lead to difficulties in intubation and ventilation due to ulceration of the oropharyngeal space [ 8 ]; intubation itself is a risk factor for ulceration in patients with BD. Thus, these neurological and dermatologic issues present a challenge during anesthesia [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the scarcity of clinical and empirical data, TM and BD have significant implications in clinical care and practice. Patients with BD or TM who require surgery may face complications during anesthesia [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anesthetic Management of an Obstetric Patient with Behçet’s Disease Complicated by Transverse Myelitis

Alwatban

AlAamri

Alraffa

et al. 2022

Case Reports in Anesthesiology

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Transverse myelitis is an acute inflammation of the spinal cord. Its annual incidence is 1–8 per million. Behçet disease is also a rare autoimmune disease. Transverse myelitis can be a manifestation of neuro-Behçet’s disease. For those two rare diseases to present in one patient sets a challenge in anesthetic management. Up to our knowledge, our approach to managing these cases has not been reported in the literature. We present the case of a 37-year-old female patient in her 34th week of pregnancy, showing manifestations of neuro-Behçet’s disease and recurrent transverse myelitis. She presented to the preanesthesia clinic on a wheelchair with worsening of baseline right lower limb weakness. The patient elected for neuroaxial anesthesia, and the procedure was conducted without complications. The patient was followed up for 6 months. The neuroaxial approach was successful. Patients with neuro-Behçet’s disease and transverse myelitis can be safely managed with epidural anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%