Anaesthetic management in neurological disorders: is combined spinal-epidural a suitable option? Case report

  • Cristina Rodríguez Alcalá Department of Anesthesiology, Critical Care and Pain Management, Hospital Universitario La Paz. Madrid, Spain https://orcid.org/0000-0001-6834-0384
  • Nicolas Brogly Department of Anesthesiology, Critical Care and Pain Management, Hospital Universitario La Paz. Madrid, Spain. https://orcid.org/0000-0001-6896-5923
  • Luis Díaz Díez-Picazo Department of Anesthesiology, Critical Care and Pain Management, Hospital Universitario La Paz. Madrid, Spain.
  • Emilia Guasch Arévalo Department of Anesthesiology, Critical Care and Pain Management, Hospital Universitario La Paz. Madrid, Spain. https://orcid.org/0000-0001-5481-1819
  • Fernando Gilsanz Rodríguez Department of Anesthesiology, Critical Care and Pain Management, Hospital Universitario La Paz. Madrid, Spain. https://orcid.org/0000-0002-4321-4231
Keywords: Tuberous sclerosis, Epidural analgesia, Caesarean section, Central nervous system diseases, Glioblastoma multiforme

Abstract

Tuberous sclerosis (TSC) is a rare disease with multi-systemic involvement, predominantly neurological. Little evidence exists about the anesthetic management of patients with this disorder, particularly in pregnant women. This article discusses a case of a patient with TSC admitted to our hospital for the delivery of a twin gestation. Twenty-four hours after surgery, the patient presented left-side facial-brachial hypoesthesia and headache. A brain CT revealed a right frontal cortical bleeding tumor, which was diagnosed as glioblastoma multiforme. The patient was discharged 15 days after admission and a neurosurgical approach was suggested.

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How to Cite
1.
Rodríguez Alcalá C, Brogly N, Díez-Picazo LD, Guasch Arévalo E, Gilsanz Rodríguez F. Anaesthetic management in neurological disorders: is combined spinal-epidural a suitable option? Case report . Colomb. J. Anesthesiol. [Internet]. 2020Dec.4 [cited 2021Apr.22];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/957

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Published
2020-12-04
How to Cite
1.
Rodríguez Alcalá C, Brogly N, Díez-Picazo LD, Guasch Arévalo E, Gilsanz Rodríguez F. Anaesthetic management in neurological disorders: is combined spinal-epidural a suitable option? Case report . Colomb. J. Anesthesiol. [Internet]. 2020Dec.4 [cited 2021Apr.22];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/957
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Case Report / Case Series

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