Acute Transverse Myelitis Following Cesarean Section：A Case Report

Abstract

We report the case of a 39-year-old woman（gravida 5, delivery 4）who developed acute transverse myelitis following cesarean section. Elective cesarean section was performed at 38 weeks and 4 days of gestation under combined spinal-epidural anesthesia. Both anesthetic procedures were uneventful and the patient did not have severe electric shock-like pain. The day after the operation, the patient was able to stand, but she later developed sensory, motor, and autonomic dysfunction. Based on several examinations, a diagnosis of acute transverse myelitis was made, and steroid pulse therapy and rehabilitation were initiated. Neurological recovery was slow, but the patient was discharged two months after surgery.

Acute transverse myelitis is a rare condition that can cause neurological sequelae. Therefore, careful observation of neurological progress after regional anesthesia is recommended.