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[Multiple sclerosis disclosed by spinal anesthesia].

P Levesque1, T Marsepoil, P Ho

  • 1Service d'Anesthésie-Réanimation, Hôpital de Gonesse.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1988
PubMed
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Spinal anesthesia may trigger acute multiple sclerosis (MS) symptoms like oculomotor paralysis, even in undiagnosed cases. Thorough preoperative exams are crucial for detecting latent neurological disorders before anesthesia.

Area of Science:

  • Neurology
  • Anesthesiology

Background:

  • Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system.
  • Regional anesthesia, including spinal anesthesia, is sometimes used for surgical procedures.

Observation:

  • A patient developed acute oculomotor paralysis shortly after undergoing spinal anesthesia for minor orthopedic surgery.
  • The patient had previously undiagnosed multiple sclerosis.

Findings:

  • The case suggests a potential link between spinal anesthesia and the acute exacerbation of multiple sclerosis.
  • Oculomotor paralysis was the presenting symptom of the newly diagnosed MS.

Implications:

  • Highlights the importance of comprehensive preoperative physical and neurological examinations to identify latent neuromuscular disorders.

Related Experiment Videos

  • Underscores the need for careful consideration and further investigation into the safety of regional anesthesia in patients with multiple sclerosis.