# Most often, postop exacerbation, if it occurs is due to surgical complications like fever and infections
# Even minor increases in body temperatures are not tolerated well
# With the use of Suxamethonium, there is a risk of hyperkalemia
# Both resistance and prolongation of NMBA response are seen
# Complications have been reported with spinal anesthesia (Weak myelin sheath and direct neurotoxicity from LAs have been suggested as reason for this)
# Epidural is safe in this regard (As in epidural technique, there will be a lower concentration of LA in white matter)
# We should explain the chance of exacerbation of symptoms before any form of regional anesthesia
#multiplesclerosis , #anesthesia , #anaesthesia
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