Key result
Epidural anesthesia successfully manages cesarean section in a term pregnant woman with moyamoya disease.
Why the study?
The optimal anesthetic management for cesarean section in patients with moyamoya disease has not been discussed.
Case Report (n=1)
Epidural anesthesia was successfully used in a pregnant patient with Moyamoya disease undergoing cesarean section, providing a potential anesthetic strategy to avoid neurologic complications.
Should not change practice in Moyamoya cesarean anesthesia; leaves open need for controlled studies on epidural safety.
Moyamoya disease is a rare progressive occlusive disease ofand may be associated with intracranial aneurysms. There are few reports regarding moyamoya disease during pregnancy (1,2). 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 (1,3). The optimal anesthetic management for cesarean section in these patients has not been discussed. We report the successful use of epidural anesthesia in the management of a term parturient with moyamoya disease undergoing cesarean section and bilateral tubal ligations.
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Sharma et al. (1994) conducted a case report in Moyamoya disease in pregnancy (n=1). Epidural anesthesia was evaluated on Successful anesthetic management. Epidural anesthesia was successfully used in the management of a term pregnant woman with moyamoya disease undergoing cesarean section and bilateral tubal ligations.
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