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Case Reports
. 2013 Mar;51(1):37-9.
doi: 10.1016/j.aat.2013.03.001. Epub 2013 Apr 28.

Acute transverse myelitis after thoracic epidural anesthesia and analgesia: should anesthesia and analgesia be blamed?

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Case Reports

Acute transverse myelitis after thoracic epidural anesthesia and analgesia: should anesthesia and analgesia be blamed?

Ming-Che Hsu et al. Acta Anaesthesiol Taiwan. 2013 Mar.

Abstract

A 63-year-old man developed acute transverse myelitis (ATM) with a rapid progression of sensory and motor deficits and autonomic dysfunction 2 days after chest surgery. Thoracic epidural anesthesia/analgesia (TEA) had been administered in this case. Since the temporal and spatial relationships between TEA and ATM are so close, one may easily mistake the TEA as the cause. Therefore, we discuss here the differential diagnoses for cord damage after TEA and the characteristics of ATM, and suggest that it is unlikely that TEA is the cause of ATM in this case.

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