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Indian Journal of Anesthesia and Analgesia 12(2):p 149-152, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.13
Case Report
Anaesthetic Management of Cervical Spondylotic Myelopathy Patient with Poliomyelitis
K. Venkatprakashreddy, Kiran N.
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(2):p 149-152, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.13
How Cite This Article:
Venkatprakashreddy K, Kiran N, Madhusudhana R. Anaesthetic management of cervical spondylotic myelopathy patient with poliomyelitis. Ind J Anesth Analg. 2025;12(1):149-152.Timeline
Received : June 23, 2025
Accepted : January 23, 2025
Published : June 23, 2025
Abstract
Introduction: Cervical spondylotic myelopathy is a degenerative condition resulting in the compression of the spinal cord. It leads to symptoms such as gait disturbances, hand clumsiness, neck pain. The presence of poliomyelitis that causes motor neuron damage and muscle atrophy adds further complexity to the management of cervical spondylotic myelopathy. Case Report: A 64 year-old male diagnosed with cervical spondylotic myelopathy was posted for limited cervical laminectomy. He came with complaints of neck pain radiating to left upper limb and left upper limb weakness for 4 months. He was a known case of poliomyelitis with right upper limb paralysis since childhood. He was short in stature. Airway examination showed Mallampati grade 2. Upon neurological examination his motor power in both lower limbs was 5/5, in right upper limb 0/5, left upper limb 3/5 with no sensory deficit. Blood & routine investigations were within normal limits. Standard monitoring was ensured perioperatively, Patient was induced as per standard anaesthesia protocol. Patient was intubated with manual inline stabilization with Video laryngoscope. Then patient was log rolled to the prone position on the operating table with pressure point precautions. Intra operative vitals were stable. Anaesthesia was maintained with isoflurane, O2 and N20. Peri operatively multimodal approach of analgesia was employed. Patient was extubated and neurological assessment was done. Standard monitoring was continued IN the post aesthetic care unit for about 1 hour. There was no surgical or aesthetic complications. Conclusion: This case illustrates the complexity of anesthetic management in patients with both cervical spondylotic myelopathy and poliomyelitis. Meticulous planning, including careful airway management and patient positioning, is critical to avoiding further neurological impairment. A tailored anesthetic approach, including preoperative evaluation and intraoperative vigilance, ensured a successful outcome in this patient.
References
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- 2. Bao, F.P., Zhang, H.G., & Zhu, S.M. Anesthetic considerations for patients with acute cervical spinal cord injury. Neural Regen Res 2017; 12 (3): 499-504.
- 3. Yan, K., & Frances Diggan, M. A case of central cord syndrome caused by intubation: a case report. The Journal of Spinal Cord Medicine 1997; 20(2): 230-232.
- 4. Donaldson III, W.F., Heil, B.V., Donaldson, V.P., & Silvaggio, V.J. The effect of airway maneuvers on the unstable C1-C2 segment: A cadaver study. Spine 1997; 22(11): 1215-1218.
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Author Contributions
all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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Cite this article
Venkatprakashreddy K, Kiran N, Madhusudhana R. Anaesthetic management of cervical spondylotic myelopathy patient with poliomyelitis. Ind J Anesth Analg. 2025;12(1):149-152.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| June 23, 2025 | January 23, 2025 | June 23, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.13
Keywords
Anaesthetic managementCervical spondylotic myelopathPoliomyelitisSearch for Similar Articles
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Timeline
| Received | June 23, 2025 |
| Accepted | January 23, 2025 |
| Published | June 23, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
