Title: | Transverse myelitis following general and epidural anaesthesia in a paediatric patient |
Author(s): | Martinez-Garcia, E. Pelaez, E. Roman, J. C. Perez-Gallardo, A. |
Address: | Department of Anaesthesia, Children University Hospital, Nino Jesus, Madrid, Spain. ernesmg2002@yahoo.es |
ISSN/ISBN: | 0003-2409 (Print). 0003-2409 (Linking) |
Abstract: | A 13-year-old girl developed transverse myelitis 2 weeks after an uncomplicated, combined general and epidural anaesthetic for orthopaedic surgery. Since epidural anaesthesia had been used, a causal relationship might have been assumed. We review the aetiology and pathogenesis of acute transverse myelitis and the role of anaesthesia in this disorder. Although a causal relationship cannot be assumed and regional anaesthesia in children is considered safe, we would like to re-emphasise the management principles and practices that may improve the benefit-to-risk ratio of these techniques. |