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Updated: Jul 18, 2026

Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Transverse myelitis following spinal anesthesia.

Sanjeev Jha¹, Rajesh Kumar

¹Department of Neurology, Sanjay Gandhi PGIMS, Lucknow, UP, India. sjha@sgpgi.ac.in

Neurology India

|November 23, 2006

Summary

A rare case of paraplegia after spinal anesthesia highlights risks. This complication, hemorrhagic myelitis, occurred despite the procedure

Area of Science:

Anesthesiology
Neurology
Spinal Cord Medicine

Background:

Spinal anesthesia is a common and generally safe anesthetic technique.
Severe neurological complications are rare, but potential risks exist.

Observation:

A 29-year-old male developed acute flaccid paraplegia with sensory and motor deficits, including bladder and bowel dysfunction, immediately after inguinal hernia repair under spinal anesthesia.
Magnetic resonance imaging revealed hemorrhagic myelitis in the conus medullaris at the D12 level.

Findings:

The patient did not respond to a 10-day course of intravenous methylprednisolone.
The case underscores challenges in identifying the precise interspace used for spinal anesthesia.
It highlights the potential for direct traumatic injury to the spinal cord during the procedure.

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Last Updated: Jul 18, 2026

Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Implications:

This case emphasizes the critical importance of adhering to established guidelines for spinal anesthesia administration.
Violations of standard procedures can lead to devastating neurological outcomes.
It highlights the need for vigilance and careful technique to minimize the risk of spinal cord injury.