CASE REPORT
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
Portugal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_558_22

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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.


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