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dc.contributor.authorTadrous, R
dc.contributor.authorNi Mhuirchteagh, R
dc.contributor.authorMcCaul, C
dc.date.accessioned2012-02-01T14:30:08Z
dc.date.available2012-02-01T14:30:08Z
dc.date.issued2011-07
dc.identifier.citationAnaesthesia for caesarean section in a patient with Sturge-Weber syndrome following acute neurological deterioration. 2011, 20 (3):259-62 Int J Obstet Anesthen
dc.identifier.issn1532-3374
dc.identifier.pmid21315576
dc.identifier.doi10.1016/j.ijoa.2010.11.011
dc.identifier.urihttp://hdl.handle.net/10147/208152
dc.descriptionAbstract Sturge-Weber syndrome consists of facial capillary malformation (port-wine stain) and abnormal blood vessels in the brain or eye. Seizures, developmental delay and intracranial and airway angiomata are principal concerns. We report a 28-year-old primiparous woman at 41 weeks of gestation with Sturge-Weber syndrome who developed unilateral weakness, aphasia, blurred vision and confusion. Preeclampsia was excluded. Neuroimaging showed left sided cerebral oedema and a right parieto-occipital lesion, most likely an angioma. Caesarean section was planned to avoid the risk of angioma rupture during labour. General anesthesia was avoided due to the haemodynamic response to laryngoscopy and reports of seizure-related mortality. Despite the possibility of raised intracranial pressure and precipitation of cerebral herniation, a lumbar epidural block was administered but failed. A subarachnoid block was successfully performed and a healthy infant delivered. The choice of anaesthesia was strongly influenced by detailed radiological investigations and multidisciplinary participation.en
dc.description.abstractSturge-Weber syndrome consists of facial capillary malformation (port-wine stain) and abnormal blood vessels in the brain or eye. Seizures, developmental delay and intracranial and airway angiomata are principal concerns. We report a 28-year-old primiparous woman at 41 weeks of gestation with Sturge-Weber syndrome who developed unilateral weakness, aphasia, blurred vision and confusion. Preeclampsia was excluded. Neuroimaging showed left sided cerebral oedema and a right parieto-occipital lesion, most likely an angioma. Caesarean section was planned to avoid the risk of angioma rupture during labour. General anesthesia was avoided due to the haemodynamic response to laryngoscopy and reports of seizure-related mortality. Despite the possibility of raised intracranial pressure and precipitation of cerebral herniation, a lumbar epidural block was administered but failed. A subarachnoid block was successfully performed and a healthy infant delivered. The choice of anaesthesia was strongly influenced by detailed radiological investigations and multidisciplinary participation.
dc.language.isoenen
dc.publisherElsevieren
dc.subjectAdulten
dc.subjectAnaesthesia, Epiduralen
dc.subjectAnaesthesia , Obstetricalen
dc.subjectBrain, Pathologyen
dc.subjectCaesarean Section/methodsen
dc.subjectFemaleen
dc.subject.meshAdult
dc.subject.meshAnesthesia, Epidural
dc.subject.meshAnesthesia, Obstetrical
dc.subject.meshBrain
dc.subject.meshCesarean Section
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshInfant, Newborn
dc.subject.meshMagnetic Resonance Imaging
dc.subject.meshNervous System Diseases
dc.subject.meshPregnancy
dc.subject.meshSturge-Weber Syndrome
dc.subject.meshTreatment Failure
dc.titleAnaesthesia for caesarean section in a patient with Sturge-Weber syndrome following acute neurological deterioration.en
dc.typeArticle In Pressen
dc.contributor.departmentDepartment of Anaesthesia, The Rotunda Hospital, Dublin, Ireland.en
dc.identifier.journalInternational journal of obstetric anesthesiaen
dc.description.provinceLeinster
html.description.abstractSturge-Weber syndrome consists of facial capillary malformation (port-wine stain) and abnormal blood vessels in the brain or eye. Seizures, developmental delay and intracranial and airway angiomata are principal concerns. We report a 28-year-old primiparous woman at 41 weeks of gestation with Sturge-Weber syndrome who developed unilateral weakness, aphasia, blurred vision and confusion. Preeclampsia was excluded. Neuroimaging showed left sided cerebral oedema and a right parieto-occipital lesion, most likely an angioma. Caesarean section was planned to avoid the risk of angioma rupture during labour. General anesthesia was avoided due to the haemodynamic response to laryngoscopy and reports of seizure-related mortality. Despite the possibility of raised intracranial pressure and precipitation of cerebral herniation, a lumbar epidural block was administered but failed. A subarachnoid block was successfully performed and a healthy infant delivered. The choice of anaesthesia was strongly influenced by detailed radiological investigations and multidisciplinary participation.


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