Anesthetic Management of an Obstetric Patient with Behçet’s Disease Complicated by Transverse Myelitis

Autor: Alwatban, Sara, AlAamri, Etedal, Alraffa, Abdullah, Alkhawajah, Mona
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Anesthesiology.
ISSN: 2090-6382
DOI: 10.1155/2022/3082743
Popis: Transverse myelitis is an acute inflammation of the spinal cord. Its annual incidence is 1–8 per million. Behçet disease is also a rare autoimmune disease. Transverse myelitis can be a manifestation of neuro-Behçet’s disease. For those two rare diseases to present in one patient sets a challenge in anesthetic management. Up to our knowledge, our approach to managing these cases has not been reported in the literature. We present the case of a 37-year-old female patient in her 34th week of pregnancy, showing manifestations of neuro-Behçet’s disease and recurrent transverse myelitis. She presented to the preanesthesia clinic on a wheelchair with worsening of baseline right lower limb weakness. The patient elected for neuroaxial anesthesia, and the procedure was conducted without complications. The patient was followed up for 6 months. The neuroaxial approach was successful. Patients with neuro-Behçet’s disease and transverse myelitis can be safely managed with epidural anesthesia.
Databáze: OpenAIRE
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