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Transverse myelitis following general and epidural anaesthesia in a paediatric patient
E Martinez-Garcia1, E Pelaez, J C Roman
1Department of Anaesthesia, Children University Hospital, Nino Jesus, Madrid, Spain. ernesmg2002@yahoo.es
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.
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