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Case Report

Open Access

Transverse myelitis following general and thoracic epidural anaesthesia


1,Clinical Department of Anesthesiology and Intensive Therapy University Medical Centre Ljubljana

DOI: 10.22514/SV52.112010.5 Vol.5,Issue 2,November 2010 pp.29-31

Published: 01 November 2010

*Corresponding Author(s): MOJCA DRNOVSEK GLOBOKAR E-mail: mojca.drnovsek@kclj.sir


Acute bacterial transverse myelitis, secondary to an epidural catheter, developed in a 49-year-old man who underwent surgery for carcinoma of the left lung. Left pneumonectomy was performed under combined general and epidural (Th6-7) anesthesia. The operative procedure, anaesthesia and early postoperative course were uneventful. On the fifth postopera-tive day, the patient developed neurological deficits consistent with high-level paraplegia. Elevated inflammatory parameters along with the results of cerebrospinal fluid analysis and magnetic resonance imaging were suggestive of acute transverse bacterial myelitis of the dorsal part of the spinal cord secondary to epidural analgesia. Despite prompt antibiotic therapy, anti-oedema treatment and rehabilitation, the neurological deficit failed to resolve. 


epidural anaesthesia, paraplegia, transverse myelitis

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MOJCA DRNOVSEK GLOBOKAR,VESNA PAVER ERZEN,VESNA NOVAK JANKOVIC. Transverse myelitis following general and thoracic epidural anaesthesia. Signa Vitae. 2010. 5(2);29-31.


01. Munnur U, Suresh MS. Backache, headache, and neurologic deficit after regional anesthesia. An Cl North Am 2003;21:1.

02. Dawson SJ. Epidural catheter infections. J Hosp Infect 2001;47:3-8

03. Holt HM, Andersen SS, Andersen O, Gahrn-Hansen B, Siboni K. Infections following epidural catheterisation. J Hosp Infect 1995;30:253-60.

04. Brooks K, Pasero C, Hubbard L, Coghlan RH. The Risk of Infection Associated With Epidural Analgesia. Infect Control Hosp Epidermiol 1995;16:725-6.

05. Ubogu EE, Lindenberg JR, Werz MA. Transverse myelitis associated with Acinetobacter baumanii intrathecal pump catheter-related infec-tion. Reg Anesth Pain Med 2003;28:470-4.

6. Kaur R, Girdhar KK, Banerjee N. Transverse myelitis following spinal anaesthesia-a case report. Indian J Anaest 2002;46(5):476-7.

7. Martinez-Garcia E, Pelaez E, Roman JC, Perez-Gallardo A. Transverse myelitis following general and epidural anaesthesia in a paediatric patient. Anaesthesia 2005;60:921-3.

8. Gutowski NJ, Davies AO. Tranverse myelitis following general anesthesia. Anaesthesia 1993;48:44-5.

9. Watanakunakorn C. E. colli meningitis and septicemia associated with an epidural catheter. Clin Infect Dis 1995;21(3):713-4.

10. Berman M, Feldman S, Alter M, Zilber N, Kahane F. Acute transverse myelitis: incidence and etiologic considerations. Neurology 1981;31:966-71.

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