{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:26Z","timestamp":1787775746327,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>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.<\/jats:p>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_558_22","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T08:16:27Z","timestamp":1671696987000},"page":"94-96","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Combined neuraxial-general anesthesia in opsoclonus\u2013myoclonus syndrome"],"prefix":"10.4103","volume":"17","author":[{"given":"Jo\u00e3o B.","family":"Abreu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina R.","family":"Cordeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana I.","family":"Amorim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago G.","family":"Catanho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina D.","family":"Gama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-18-20240909","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1136\/jnnp.25.3.271","article-title":"Myoclonic encephalopathy of infants","volume":"25","author":"Kinsbourne","year":"1962","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R2-18-20240909","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S0034-7094(13)70232-0","article-title":"Kinsbourne syndrome: Case report","volume":"63","author":"Maranh\u00e3o","year":"2013","journal-title":"Braz J Anesthesiol"},{"key":"R3-18-20240909","doi-asserted-by":"crossref","first-page":"5","DOI":"10.4097\/kjae.2014.67.S.S5","article-title":"Anesthesia in a young adult with opsoclonus-myoclonus syndrome","volume":"67","author":"Lee","year":"2014","journal-title":"Korean J Anesthesiol"},{"key":"R4-18-20240909","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1213\/00000539-198210000-00014","article-title":"Ketamine and myoclonic encephalopathy of infants (Kinsbourne syndrome)","volume":"61","author":"Burrows","year":"1982","journal-title":"Anesth Analg"},{"key":"R5-18-20240909","doi-asserted-by":"crossref","first-page":"468","DOI":"10.4103\/1658-354X.179115","article-title":"Anesthesia in a child with Kinsbourne syndrome: Does anesthesia technique matters?","volume":"10","author":"Nisa","year":"2016","journal-title":"Saudi J Anaesth"},{"key":"R6-18-20240909","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1212\/NXI.0000000000001153","article-title":"Diagnosis and management of opsoclonus-myoclonus-ataxia syndrome in children: An international perspective","volume":"9","author":"Rossor","year":"2022","journal-title":"Neurol Neuroimmunol Neuroinflamm"},{"key":"R7-18-20240909","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1097\/00000542-198608000-00002","article-title":"Changes in the skin temperature of the trunk and their relationship to sympathetic blockade during spinal anesthesia","volume":"65","author":"Chamberlain","year":"1986","journal-title":"Anesthesiology"},{"key":"R8-18-20240909","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1111\/pan.12384","article-title":"Combined use of neuraxial and general anesthesia during major abdominal procedures in neonates and infants","volume":"24","author":"Goeller","year":"2014","journal-title":"Paediatr Anaesth"},{"key":"R9-18-20240909","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1111\/aas.12372","article-title":"The use of ultrasound-guided regional anaesthetic techniques in neonates and young infants","volume":"58","author":"Marhofer","year":"2014","journal-title":"Acta Anaesthesiol Scand"},{"key":"R10-18-20240909","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1111\/j.1460-9592.2010.03448.x","article-title":"Epidemiology and morbidity of regional anesthesia in children: A follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF)","volume":"20","author":"Ecoffey","year":"2010","journal-title":"Paediatr Anaesth"},{"key":"R11-18-20240909","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1016\/j.jpedsurg.2013.02.030","article-title":"A systematic review and meta-analysis of caudal blockade versus alternative analgesic strategies for pediatric inguinal hernia repair","volume":"48","author":"Baird","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R12-18-20240909","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s001010050714","article-title":"Combined anesthesia procedures","volume":"48","author":"Litz","year":"1999","journal-title":"Anaesthesist"},{"key":"R13-18-20240909","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1113\/JP280706","article-title":"Low dose ketamine reduces pain perception and blood pressure, but not muscle sympathetic nerve activity, responses during a cold pressor test","volume":"599","author":"Watso","year":"2021","journal-title":"J Physiol"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_558_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:41:09Z","timestamp":1787773269000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_558_22"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_558_22","relation":{},"ISSN":["1658-354X"],"issn-type":[{"value":"1658-354X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}