Shekhar Shivam, Kadian Sakshi, Sony Sony, Chaudhary Sujata, Jakhar Jubin
Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, IND.
Anesthesiology, Guru Teg Bahadur (GTB) Hospital, New Delhi, IND.
Cureus. 2022 Jun 21;14(6):e26185. doi: 10.7759/cureus.26185. eCollection 2022 Jun.
Transverse myelitis is a rare inflammatory neurological disorder of the spinal cord that damages the myelin covering the spinal cord and thus produces sensory, motor, and autonomic symptoms. A 26-year-old primigravida of 40 weeks gestation presented to the obstetric emergency of our hospital with complaints of weakness in both lower limbs and inability to walk for four days. A diagnosis of acute transverse myelitis was made, and due to fetal distress and arrest of labor in the second stage, an emergency cesarean section was planned. Considering the risks associated with the neuraxial technique and muscle relaxants, cesarean section was planned under general anesthesia and was successfully done with ProSeal laryngeal mask airway (LMA) using propofol and sevoflurane without muscle relaxant.
横贯性脊髓炎是一种罕见的脊髓炎性神经疾病，它会损害覆盖脊髓的髓鞘，从而产生感觉、运动和自主神经症状。一名孕40周的26岁初产妇因双下肢无力及无法行走四天，到我院产科急诊就诊。诊断为急性横贯性脊髓炎，由于胎儿窘迫及第二产程产程停滞，计划行急诊剖宫产。考虑到神经轴技术和肌肉松弛剂相关的风险，计划在全身麻醉下行剖宫产，使用丙泊酚和七氟醚，不使用肌肉松弛剂，通过喉罩气道（LMA）成功完成手术。
