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Int J Obstet Anesth · Oct 2012
Case ReportsAnesthetic management of a parturient with neuromyelitis optica.
- N Sadana, M Houtchens, and M K Farber.
- Department of Anesthesiology, Brigham and Women’s Hospital, Boston, MA, USA. Neeti-Sadana@ouhsc.edu
- Int J Obstet Anesth. 2012 Oct 1;21(4):371-5.
AbstractWomen with neuromyelitis optica, an acute inflammatory demyelinating condition of the central nervous system, have an unpredictable clinical course in pregnancy. Providing neuraxial anesthesia for these patients is controversial, although relapses may occur after exposure to either general or neuraxial anesthesia and are common. We report the successful obstetric anesthesia management of a parturient with neuromyelitis optica, review the medical literature, and discuss specific considerations for obstetric anesthesia in patients with underlying demyelinating disease.Published by Elsevier Ltd.
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