• Int J Obstet Anesth · Oct 2010

    Case Reports

    Neuraxial anaesthesia for caesarean section in a patient with narcolepsy and cataplexy.

    • S Soltanifar and R Russell.
    • Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK. samsoltanifar@aol.com
    • Int J Obstet Anesth. 2010 Oct 1;19(4):440-3.

    AbstractWe report the management of a morbidly obese parturient suffering from narcolepsy with cataplexy who presented for caesarean section. Her symptoms were controlled by modafinil and fluoxetine. We administered epidural anaesthesia successfully; surgery was uneventful and recovery was uncomplicated. We discuss some of the issues surrounding parturients with narcolepsy including drug therapy and choice of anaesthetic technique.Copyright © 2010 Elsevier Ltd. All rights reserved.

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