| Epidural Anesthesia for Cesarean Section in a Patient with cerebral vascular disease |
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Byeong Seon Park, Suk Ju Cho, Jong Cook Park |
Correspondence:
Suk Ju Cho,
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| Abstract |
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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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