Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth
Introduction. Neurological complications related to epidural anesthesia are rare, but it is necessary to recognize and diagnose them as early as possible, in order to start appropriate therapy and prevent further neurological damage. One of the rare complications of regional anesthesia described in...
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| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2023-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200098D.pdf |
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| author | Damnjanović Dijana Zamurović Milena Vranjanac Aleksandar |
| author_facet | Damnjanović Dijana Zamurović Milena Vranjanac Aleksandar |
| author_sort | Damnjanović Dijana |
| collection | DOAJ |
| description | Introduction. Neurological complications related to epidural anesthesia are rare, but it is necessary to recognize and diagnose them as early as possible, in order to start appropriate therapy and prevent further neurological damage. One of the rare complications of regional anesthesia described in this paper is longitudinal extensive transversal myelitis (LETM). Case report. A 32-year-old patient, who gave birth by Caesarean section in due term, developed LETM the very same day. Considering the neuroradiological findings that indicated to the long central lesion in the thoracic and lumbar spine, and an expected reaction to the applied immunotherapy (immunosuppressive therapy and therapeutic plasma exchange), a diagnosis of LETM was made. Even with all the therapy and regression of the lesions, the patient could not stand up without support. During the subsequent treatment, according to the instructions of the physiatrist, physical therapy was carried out, to which the patient responded slowly but favorably, with a gradual return of the function of the lower extremities. Conclusion. Early diagnosis and timely treatment of LETM are crucial for the prognosis of the dis-ease and the early recovery of the patient. |
| format | Article |
| id | doaj-art-0a333b8c119c4ba8a34ec2ac822dec19 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-0a333b8c119c4ba8a34ec2ac822dec192025-08-20T01:58:55ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202023-01-0180979479610.2298/VSP220901098D0042-84502200098DLongitudinally extensive transverse myelitis after epidural anaesthesia in childbirthDamnjanović Dijana0Zamurović Milena1Vranjanac Aleksandar2Special Gynecology Hospital with Maternity Ward Jevremova Medigroup, Belgrade, SerbiaGynecologycal and Obstetrical Clinic “Narodni front”, Belgrade, SerbiaGynecologycal and Obstetrical Clinic “Narodni front”, Belgrade, SerbiaIntroduction. Neurological complications related to epidural anesthesia are rare, but it is necessary to recognize and diagnose them as early as possible, in order to start appropriate therapy and prevent further neurological damage. One of the rare complications of regional anesthesia described in this paper is longitudinal extensive transversal myelitis (LETM). Case report. A 32-year-old patient, who gave birth by Caesarean section in due term, developed LETM the very same day. Considering the neuroradiological findings that indicated to the long central lesion in the thoracic and lumbar spine, and an expected reaction to the applied immunotherapy (immunosuppressive therapy and therapeutic plasma exchange), a diagnosis of LETM was made. Even with all the therapy and regression of the lesions, the patient could not stand up without support. During the subsequent treatment, according to the instructions of the physiatrist, physical therapy was carried out, to which the patient responded slowly but favorably, with a gradual return of the function of the lower extremities. Conclusion. Early diagnosis and timely treatment of LETM are crucial for the prognosis of the dis-ease and the early recovery of the patient.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200098D.pdfanesthesia, epiduraldiagnosisdrug-related side effects and adverse reactionsdelivery, obstetricmyelitis, transverseparalysis |
| spellingShingle | Damnjanović Dijana Zamurović Milena Vranjanac Aleksandar Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth Vojnosanitetski Pregled anesthesia, epidural diagnosis drug-related side effects and adverse reactions delivery, obstetric myelitis, transverse paralysis |
| title | Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| title_full | Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| title_fullStr | Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| title_full_unstemmed | Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| title_short | Longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| title_sort | longitudinally extensive transverse myelitis after epidural anaesthesia in childbirth |
| topic | anesthesia, epidural diagnosis drug-related side effects and adverse reactions delivery, obstetric myelitis, transverse paralysis |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502200098D.pdf |
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