RESUMO
Transverse myelitis is a very rare neurological condition associated with immunologic and infectious conditions causing interruption of the neuroanatomical pathways in a transverse plane in the spinal cord. Herein is described the fatal case of a patient that developed transverse myelitis after a Caesarean delivery, probably related to the epidural analgesia.
Assuntos
Anestesia Epidural/efeitos adversos , Mielite Transversa/diagnóstico , Mielite Transversa/etiologia , Adulto , Raquianestesia/efeitos adversos , Cesárea/efeitos adversos , Evolução Fatal , Feminino , Humanos , Imageamento por Ressonância Magnética , Período Pós-PartoRESUMO
Physicians have used fetal heart monitoring for 300 years but it has faced a revolution in the last 50 years after the incorporation of new devices and the discovery of the normal patterns of labour. Dr Caldeyro Barcia in Uruguay was one of the pioneers of the development of intrauterine pressure monitors and, with Dr Edward H Hon (1917-2007), he established the basis of modern electronic fetal heart monitoring which is still used in most labour and delivery rooms across the World. Nowadays medicine and technology advances so fast that devices created 10 years ago are considered old fashioned or obsolete.