Anaesthetic management in neurological disorders: is combined spinal-epidural a suitable option?
Abstract
Tuberous sclerosis (TSC) is a rare disease with multi-systemic affectation, predominantly neurological. Little evidence exists about the anaesthetic management of patients with this disorder, particularly in pregnant women. We present the case report of a patient with TSC admitted in our hospital for the delivery of a twin gestation. Twenty-four hours after surgery, the patient presented left-sided facial-brachial hypoesthesia and headache. A cerebral computed tomography revealed a right frontal cortical bleeding tumour, being diagnosed as a glioblastoma multiforme. The patient was discharged 15 days after admission and was proposed for neurosurgery.
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