J Med Life Sci > Volume 12(2); 2015 > Article
Journal of Medicine and Life Science 2015;12(2):100-102.
DOI: https://doi.org/10.22730/jmls.2015.12.2.100    Published online December 18, 2018.
Epidural Anesthesia for Cesarean Section in a Patient with cerebral vascular disease
Byeong Seon Park, Suk Ju Cho, Jong Cook Park
Correspondence:  Suk Ju Cho,
Abstract
Cerebrovascular disease is relatively rare in women of childbearing age, but women do present for peripartum management with a variety of other vascular disorders. Moyamoya disease is a rare progressive occlusive disease of the circle of Willis and the proximal intracranial vessels. We report the anesthetic management of a 28-year-old female patient with moyamoya disease using epidural anesthesia for a cesarean section. Epidural anesthesia was performed using endtidal carbon dioxide level monitoring in order to avoid hyperventilation that may induce ischemic attacks in moyamoya patients. The patient was kept stable hemodynamically and there was no postoperative pain, and no postoperative neurological defects.
Key Words: Cesarean Section; Epidural Anesthesia; Moyamoya Disease


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