Anesthetic management of a parturient with neuromyelitis optica

被引：15
|
作者：
Sadana, N. [1 ]
Houtchens, M. [2 ]
Farber, M. K. [1 ]
机构：
[1] Brigham & Womens Hosp, Dept Anesthesiol, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2012年 / 21卷 / 04期
关键词：
Neuromyelitis optica; Neuraxial anesthesia; General anesthesia; Cesarean delivery; Demyelinating disorders; MULTIPLE-SCLEROSIS; EPIDURAL-ANESTHESIA; TRANSVERSE MYELITIS; SPINAL-ANESTHESIA; PREGNANCY; PATIENT; DISEASE; ANALGESIA;
D O I：
10.1016/j.ijoa.2012.06.002
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Women with neuromyelitis optica, an acute inflammatory demyelinating condition of the central nervous system, have an unpredictable clinical course in pregnancy. Providing neuraxial anesthesia for these patients is controversial, although relapses may occur after exposure to either general or neuraxial anesthesia and are common. We report the successful obstetric anesthesia management of a parturient with neuromyelitis optica, review the medical literature, and discuss specific considerations for obstetric anesthesia in patients with underlying demyelinating disease. Published by Elsevier Ltd.
引用
收藏
页码：371 / 375
页数：5
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