Year : 2023  |  Volume : 17  |  Issue : 1  |  Page : 94-96

Combined neuraxial-general anesthesia in opsoclonus–myoclonus syndrome: A case report

1 Department of Anesthesiology, Hospital Central do Funchal, Funchal, Portugal
2 Department of Psychiatry Critical Care, Centro Hospitalar Universitário Lisboa Norte, Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal
3 Department of Critical Care, Hospital Central do Funchal, Funchal, Portugal

Correspondence Address:
Joao B Abreu
Department of Anesthesia Hospital Central do Funchal Av. Luís de Camões 6180, 9000-177 Funchal
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.sja_558_22

Rights and Permissions

Opsoclonus-myoclonus syndrome (OMS) is a very rare neurological disorder thought to be the result of autoimmune responses in the nervous system. The relationship between this disorder and anesthesia procedures has not been studied in detail. To our knowledge, there are only 4 case reports, none of them with epidural-general combined anesthesia. We present a 9-year-old female with OMS due to low-grade neuroblastoma, for 7 years, who underwent tumor remotion due to the large size. Intravenous induction was done with alfentanil, lidocaine, propofol and rocuronium and ropivacaine was administered via lumbar epidural catheter. Adding to the sparse anesthetic management information in OMS, we now show one more possible approach, that can be valuable in high-risk cases, where general anesthesia can be involved with higher risk for the patient.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal