Korean J Anesthesiol.  1999 Mar;36(3):558-562. 10.4097/kjae.1999.36.3.558.

Two Cases of Epidural Anesthesia for Patients with Moyamoya Disease Presenting for Elective Cesarean Section: 2 cases report

• Oh MK
• Kim KH
• Kim DW

• KMID: 2032304
• DOI: http://doi.org/10.4097/kjae.1999.36.3.558

Abstract

Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries, along with the presence of an abnormal capillary network of vessels at the base of the brain. There are few reports regarding moyamoya disease during pregnancy. Since hyperventilation-induced cerebral ischemia and hypertension are provoked by active labor, elective cesarean section has been recommended to avoid neurologic complications for pregnant women with moyamoya disease. The optimal anesthetic management for cesarean section in these patients has not been discussed. We describe two cases of epidural anesthesia for elective cesarean section for patients with known moyamoya disease, which were delivered successfully.

Keyword

Anesthetic techniques, epidural; Arteries, moyamoya disease; Pregnancy, cesarean section

MeSH Terms

Anesthesia, Epidural*
Brain
Brain Ischemia
Capillaries
Carotid Artery, Internal
Cesarean Section*
Female
Humans
Hypertension
Moyamoya Disease*
Pregnancy
Pregnant Women