Anesthetic management of a parturient with neuromyelitis optica

Abstract 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...

Full description

Saved in:
Bibliographic Details
Published in:International journal of obstetric anesthesia 2012-10, Vol.21 (4), p.371-375
Main Authors: Sadana, N, Houtchens, M, Farber, M.K
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - therapeutic use
Adult
Analgesics, Opioid - therapeutic use
Androstanols
Anesthesia & Perioperative Care
Anesthesia, General - methods
Anesthesia, Obstetrical - methods
Anesthetics, Inhalation
Anesthetics, Intravenous
Antibodies, Monoclonal, Murine-Derived - therapeutic use
Cesarean delivery
Cesarean Section, Repeat - methods
Demyelinating disorders
Female
Fentanyl
Follow-Up Studies
General anesthesia
Humans
Immunoglobulins - therapeutic use
Immunologic Factors - therapeutic use
Magnetic Resonance Imaging - methods
Methyl Ethers
Neuraxial anesthesia
Neuromuscular Nondepolarizing Agents
Neuromyelitis optica
Neuromyelitis Optica - complications
Neuromyelitis Optica - drug therapy
Obstetrics and Gynecology
Oxygen - administration & dosage
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Pregnancy
Pregnancy Complications
Propofol
Rituximab
Spinal Cord - pathology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract 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.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2012.06.002