Korean J Anesthesiol.  1998 Feb;34(2):434-438. 10.4097/kjae.1998.34.2.434.

Epidural Anesthesia for Cesarean Section in a Patient with Moyamoya Disease: A case report

• Choi DH
• Lee JJ
• Ahn HJ

• KMID: 2236889
• DOI: http://doi.org/10.4097/kjae.1998.34.2.434

Abstract

We report a case of epidural anesthesia in a patient presenting for cesarean section with Moyamoya disease. Epidural anesthesia was performed using 0.5% bupivacaine and fentanyl 100 microgram. We used NIRS (near infrared spectroscopy) to monitor neurologic complication. A stable hemodynamic state was produced using left lateral uterine displacement, i.v. infusion of crystalloid solution and ephedrine. The patient had no neurological deficit and there was no significant intraoperative decrease in cerebral oxygenation measured by near infrared spectroscopy.

Keyword

Anesthesia: obstetric; Anesthetic techniques: epidural; Brain: Moyamoya disease; Monitoring: near infrared spectroscopy

MeSH Terms

Anesthesia, Epidural*
Bupivacaine
Cesarean Section*
Ephedrine
Female
Fentanyl
Hemodynamics
Humans
Moyamoya Disease*
Oxygen
Pregnancy
Spectrum Analysis
Bupivacaine
Ephedrine
Fentanyl
Oxygen