BackgroundSpontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage. Therefore, there is little data in the literature regarding anesthetic management of cervical localization during pregnancy. The potential for difficult airway management with the patient under general anesthesia is one of the major concerns that needs to be addressed to prevent further cord compression. Anesthetic management should also include measures to maintain the mean arterial pressure to improve spinal cord perfusion. Furthermore, spine surgery in pregnant patients needs special consideration in terms of positioning and in the postoperative period.Case presentationWe present a case of a 35-year-old white woman at 21 weeks of gestation with a spontaneous cervical epidural hematoma. Fiberoptic bronchoscope-guided nasal intubation was a safe option to ensure a higher rate of successful endotracheal intubation while minimizing the risk of aggravating the injury. Her care posed other multiples challenges that required a multidisciplinary team approach.ConclusionsThe case of our patient serves as a reminder of this rare condition and its implications regarding anesthesia.

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BackgroundKasabach-Merritt phenomenon (KMP) is characterized by a vascular tumor with profound thrombocytopenia and consumptive coagulopathy that may presents significant challenges for anesthesiologist.Case presentationAn 87-year-old man presented with kaposiform hemangioendothelioma involving the right leg in critical condition due to massive bleeding. Hematology investigations indicated the presence of KMP. Association of this type of tumor with KMP in adults has never been reported.ConclusionThe present case report lays an emphasis on the potential difficulties during anesthetic management of this rare condition.

Stevens Johnson syndrome is one of the most severe types of cutaneous adverse reactions to drugs. We report a case of Stevens Johnson syndrome in a child after carbamazepine application. Based on data from the literature we discuss mechanisms of pathogenesis, the role of Ag HLA-B*1502, clinical manifestation and management in these severe life-threatening diseases.

Background: The major causes of post-operative morbidity and mortality following lung resection are cardiovascular and pulmonary complications. Neurological complications as phrenic or recurrent nerve injury are rarely found, paraplegia is exceptional. Case Report: We report a case of 61 year old man who presented a paraplegia discovered incidentally in the immediate aftermath of a lobectomy for lung cancer. CT showed a possible intra-cord migration of an epidural catheter. The catheter was immediately removed and neurological recovery was progressive and complete. Conclusion: We want to identify the causes, anatomical and technical reasons leading to this complication, recall the necessary measures to prevent its occurrence and finally stress the importance of seeking signs of neurological impairment during the puncture and catheter placement, also after surgery when the effects of general anesthesia are abolished.