Management of anesthesia during C-section of a multiple sclerosis pregnant woman: Case report and literature review
Keywords:
Multiple sclerosis, Anesthesia, Cesarean section, Anesthesia epidural, Pregnancy abdominal
Abstract
Case description of a pregnant woman at term with a history of Multiple Sclerosis, scheduled for C-section and with a diagnosis of fetal macrosomia; the patient had undergone a C-section in the past during pro-dromal labor. The physical examination showed no motor or sensory deficit. The CBC showed anemia and mild lymphocytosis. The patient underwent cesarean section under single-dose epidural anesthesia with no complications and favorable evolution. Multiple sclerosis is a rare neurological condition, even rarer in pregnant women undergoing C-section. So a literature search was undertaken aimed at improving the management of anesthesia in this group of patients.
References
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2. Dalmas AF, Texier C, Ducloy-Bouthors AS, Krivosic-Horber R. Obstetrical analgesia and anaesthesia in multiple sclerosis. Ann Fr Anesth Reanim. 2003;22:861-4.
3. Horlocker TT. Complications of spinal and epidural anesthesia. Anesthesiol Clin N Am. 2000;18:461-85.
4. Noseworthy J, Lucchnetti C, Rodríguez M, Weinshenker B. Multiple sclerosis. N Engl J Med. 2000;343:938-52.
5. Comptsom A, Coles A. Multiple sclerosis. Lancet. 2002;359:1221-31.
6. Vizcarra D, Kawano J, Castañeda C, Chereque A, Tipismana M, Bernabé A, et al. Prevalencia de Esclerosis Múltiple en Lima -Perú. Rev Med Hered. 2009;20:146-50.
7. Vizcarra-Escobar D, Cava-Prado L, Tipismana-Barbaran M. Descripción clínico epidemiológica de una serie de pacientes. Rev Neurol. 2005;41:591-5.
8. Vercauteren M, Heytens L. Anaesthetic considerations for patients with a preexisting neurological deficit: are neuraxial techniques safe? Acta Anaestesiol Scand. 2007;51: 831-8.
9. Drake E, Drake M, Bird J, Russell R. Obstetric regional blocks for women with multiple sclerosis: a survey of UK experience. Int J Obstet Anesth. 2006;15:115-23.
10. Levesque P, Marsepoilt T, Ho P, Venutolo PH, Lesouefjm JM. Multiple sclerosis revealed by spinal anesthesia. Ann Fr Anesth Reanim. 1988;7:68-70.
11. Perlas A, Chan VW. Neuraxial anesthesia and multiple sclerosis. Can J Anaesth. 2005;52:454-8.
12. Pastò L, Portaccio E, Ghezzi A, Hakiki B, Giannini M, Razzolini L, et al. Epidural analgesia and cesarean delivery in multiple sclerosis post-partum relapses: the Italian cohort study. BMC Neurol. 2012;12:165.
2. Dalmas AF, Texier C, Ducloy-Bouthors AS, Krivosic-Horber R. Obstetrical analgesia and anaesthesia in multiple sclerosis. Ann Fr Anesth Reanim. 2003;22:861-4.
3. Horlocker TT. Complications of spinal and epidural anesthesia. Anesthesiol Clin N Am. 2000;18:461-85.
4. Noseworthy J, Lucchnetti C, Rodríguez M, Weinshenker B. Multiple sclerosis. N Engl J Med. 2000;343:938-52.
5. Comptsom A, Coles A. Multiple sclerosis. Lancet. 2002;359:1221-31.
6. Vizcarra D, Kawano J, Castañeda C, Chereque A, Tipismana M, Bernabé A, et al. Prevalencia de Esclerosis Múltiple en Lima -Perú. Rev Med Hered. 2009;20:146-50.
7. Vizcarra-Escobar D, Cava-Prado L, Tipismana-Barbaran M. Descripción clínico epidemiológica de una serie de pacientes. Rev Neurol. 2005;41:591-5.
8. Vercauteren M, Heytens L. Anaesthetic considerations for patients with a preexisting neurological deficit: are neuraxial techniques safe? Acta Anaestesiol Scand. 2007;51: 831-8.
9. Drake E, Drake M, Bird J, Russell R. Obstetric regional blocks for women with multiple sclerosis: a survey of UK experience. Int J Obstet Anesth. 2006;15:115-23.
10. Levesque P, Marsepoilt T, Ho P, Venutolo PH, Lesouefjm JM. Multiple sclerosis revealed by spinal anesthesia. Ann Fr Anesth Reanim. 1988;7:68-70.
11. Perlas A, Chan VW. Neuraxial anesthesia and multiple sclerosis. Can J Anaesth. 2005;52:454-8.
12. Pastò L, Portaccio E, Ghezzi A, Hakiki B, Giannini M, Razzolini L, et al. Epidural analgesia and cesarean delivery in multiple sclerosis post-partum relapses: the Italian cohort study. BMC Neurol. 2012;12:165.
How to Cite
1.
Quispe Ricci AC. Management of anesthesia during C-section of a multiple sclerosis pregnant woman: Case report and literature review. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 26];43(1):104-6. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/495
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Published
2015-01-01
How to Cite
1.
Quispe Ricci AC. Management of anesthesia during C-section of a multiple sclerosis pregnant woman: Case report and literature review. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 26];43(1):104-6. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/495
Issue
Section
Case Report / Case Series
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