Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature

Autor:	Alexandra Chang, Brian Chung, Rashmi Vandse
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Anesthesiology RD78.3-87.3
Zdroj:	Case Reports in Anesthesiology, Vol 2018 (2018)
Druh dokumentu:	article
ISSN:	2090-6382 2090-6390
DOI:	10.1155/2018/2404756
Popis:	Neuromyelitis optica (NMO) is a rare demyelinating disorder affecting the spinal cord and optic nerves. Like multiple sclerosis (MS), it predominantly affects women during childbearing years. The impact of neuraxial anesthesia on the course of NMO is uncertain. There are no large studies available to draw definitive conclusions regarding the safety of neuraxial anesthesia in this population. A review of the current literature suggests that neuraxial anesthesia is unlikely to exacerbate neurologic symptoms in pregnant patients with NMO. However, given the rarity of this disease entity among patients requesting epidural labor analgesia, we recommend taking a cautious approach.
Databáze:	Directory of Open Access Journals
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