Combined spinal-epidural anesthesia for cesarean section in a patient with Moyamoya disease -A case report

Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries. We report a case of combined spinal-epidural anesthesia in a patient with Moyamoya disease presenting for Cesarean section. Hypotension associated with spinal anesthesia for Cesarean section is the most common...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2010, 59(0), , pp.150-153
Main Authors: Shim, Kwang Suk, Kim, Eun Ju, Lee, Ji Hyang, Lee, Sang Gon, Ban, Jong Seouk, Min, Byung Woo
Format: Article
Language:English
Subjects:
Case Report
combined spinal-epidural anesthesia
ephedrine
moyamoya disease
phenylephrine
마취과학
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Summary:Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries. We report a case of combined spinal-epidural anesthesia in a patient with Moyamoya disease presenting for Cesarean section. Hypotension associated with spinal anesthesia for Cesarean section is the most common and serious adverse effect despite the use of uterine displacement and volume preload. We continuously infused phenylephrine and ephedrine to prevent hypotension. The intraoperative hemodynamic state was stable. The patient had no significant postoperative complications.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.59.S.S150