Volume 8, Issue 1, June 2020, Page: 26-29
Acute Myelitis After Correction of Hypospadias with Caudal Anesthesia
Jeniffer Almeida Correa do Nascimento, Department of Anesthesiology, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
Matheus de Castro Abi-Ramia Chimelli, Department of Anesthesiology, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
Jose Eduardo Smilgevicius Silva, Department of Anesthesiology, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
Marcelo Grisolia Gonçalo, Department of Anesthesiology, Hospital Federal da Lagoa, Rio de Janeiro, Brazil
Pedro Paulo Vanzillota, Department of Anesthesiology, Hospital Municipal Jesus, Rio de Janeiro, Brazil
Received: Feb. 14, 2020;       Accepted: Mar. 4, 2020;       Published: Apr. 23, 2020
DOI: 10.11648/j.ijacm.20200801.16      View  173      Downloads  50
Abstract
Combined epidural anesthesia with general anesthesia is the preferred anesthetic technique for lower limb surgery as well as lower abdominal, genitourinary and perineal surgery in children. This case report below depicts a rare complication: acute myelitis. It occurred following surgical correction of hypospadias (first stage) under combined caudal epidural anesthesia with general anesthesia in an Eight-months-old infant, weighing 9.8 kilograms, with no surgical/anesthetic history, without known allergies, previously healthy, with adequate developmental milestones, physical examination without abnormalities, without difficult airway predictors, with adequate fasting time and normal laboratorial exams. Some etiologies for this case report have been suggested such as spinal cord trauma, infectious and vascular causes, local anesthetic and noxious chemicals neurotoxicity and demyelinating diseases. In spite of thorough scrutiny, we were not able to define a single cause for the clinical manifestations. In this setting, the treatment goal was to provide support measures and rehabilitation of neurological deficits.
Keywords
Anesthesia, Acute Myelitis, Correction of Hypospadias, Neurological Deficits
To cite this article
Jeniffer Almeida Correa do Nascimento, Matheus de Castro Abi-Ramia Chimelli, Jose Eduardo Smilgevicius Silva, Marcelo Grisolia Gonçalo, Pedro Paulo Vanzillota, Acute Myelitis After Correction of Hypospadias with Caudal Anesthesia, International Journal of Anesthesia and Clinical Medicine. Vol. 8, No. 1, 2020, pp. 26-29. doi: 10.11648/j.ijacm.20200801.16
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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