ABSTRACT
Anterior spinal artery syndrome (ASAS) is a rare and permanent damage, caused as a neurological complication of spinal anesthesia. In this case study, we have given account of our experience of anesthetic management of a documented case of ASAS, posted for inguinal hernioplasty. We did a thorough pre-anesthetic evaluation and found that patient had paraplegia and confi ned to bed with aspiration pneumonitis. He is a known hypertensive and on control with tablet amlodipine 5 mg/day. He was subjected to antibiotic therapy, mucolytics with respiratory physiotherapy and incentive spirometry. After preparing the patient thoroughly, patient was subjected to general anesthesia. Post-operative analgesia was provided with injection fentanyl, given with a syringe pump. Post-operative period was uneventful.