Work

Feasibility of Outpatient Transforaminal Lumbar Interbody Fusion (TLIF) in Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report

Year: 2025

Type: article

Abstract: Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare autoimmune neuropathy characterized by progressive motor and sensory dysfunction. Anesthetic management is challenging due to increased sensitivity to neuromuscular blockers, heightened pain perception, and potential postoperative respiratory compromise. There is limited evidence on the feasibility of outpatient surgery in CIDP patients. We present the case of a 62-year-old male with stable CIDP who underwent minimally invasive transforaminal lumbar interbody fusion (TLIF) as a day-case procedure. Anesthetic management included total intravenous anesthesia (TIVA) without neuromuscular blockade, careful intra- and postoperative monitoring, and multimodal analgesia. The patient experienced no complications and was safely discharged within 24 hours. This report supports the potential feasibility of outpatient spinal surgery in carefully selected CIDP patients, highlighting the importance of multidisciplinary planning and institutional capacity for safe perioperative care.

Source: Cureus

DOI: 10.7759/cureus.90517

Authors: Miguel Coimbra, Sara Fernandes, Ana Sousa, Joana Cortesão, Marta Azenha

Institution: Unidade Local de Saúde de Coimbra

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413317925