- 期刊
Crisis Management for Cesarean Section in a Parturient with Moyamoya Disease Under Spinal Anesthesia
摘要
Moyamoya disease is a cerebrovascular disease associated with stenosis of brain vessels and development of weak collateral circulation which may cause ischemia and hemorrhagic stroke. Parturients with moyamoya disease are at risk because labor pain may induce hypertension and brain hemorrhage. Elective cesarean section has been recommended for these patients, but the optimal anesthesia management is controversial. We report a 37-year-old pregnant woman with moyamoya disease who underwent cesarean section under spinal anesthesia. She had a massive drop of blood pressure from 157/101 to 90/50 mmHg during surgery. There were no complications in the parturient or baby. In conclusion, we reported a parturient with multiple systemic disease, who experienced hemodynamic instability after anesthesia. Despite the absence of complication, precautions should be taken against hemodynamic fluctuations for patients with moyamoya disease undergoing anesthesia.
延伸閱讀
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