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Regional anesthesia · Nov 1996
Case ReportsSuccessful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets.
- R R Gaiser and L Antonik.
- Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
- Reg Anesth. 1996 Nov 1; 21 (6): 592-4.
Background And ObjectivesArachnoid cysts are a frequent finding on magnetic resonance imaging; however, the use of major conduction anesthesia in patients with these cysts has not been reported.MethodsEpidural anesthesia was used in a parturient with a triplet pregnancy preeclampsia, and a documented arachnoid cyst extending from TII to LI.ResultsEpidural anesthesia was successfully used in this high-risk patient, and airway manipulation, which would have been difficult in this patient, was thereby avoided.ConclusionsArachnoid cysts are not a contraindication to major conduction anesthesia, as is confirmed by a review of arachnoid cysts and anesthetic considerations.
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