Korean J Anesthesiol.  2010 Dec;59(Suppl):S150-S153. 10.4097/kjae.2010.59.S.S150.

Combined spinal-epidural anesthesia for cesarean section in a patient with Moyamoya disease: A case report

• Shim KS
• Kim EJ
• Lee JH
• Lee SG
• Ban JS
• Min BW

• KMID: 2237375
• DOI: http://doi.org/10.4097/kjae.2010.59.S.S150

Abstract

Moyamoya disease is a rare progressive occlusive disease of the internal carotid arteries. We report a case of combined spinal-epidural anesthesia in a patient with Moyamoya disease presenting for Cesarean section. Hypotension associated with spinal anesthesia for Cesarean section is the most common and serious adverse effect despite the use of uterine displacement and volume preload. We continuously infused phenylephrine and ephedrine to prevent hypotension. The intraoperative hemodynamic state was stable. The patient had no significant postoperative complications.

Keyword

Combined spinal-epidural anesthesia; Ephedrine; Moyamoya disease; Phenylephrine

MeSH Terms

Anesthesia
Anesthesia, Spinal
Carotid Artery, Internal
Cesarean Section
Displacement (Psychology)
Ephedrine
Female
Hemodynamics
Humans
Hypotension
Moyamoya Disease
Phenylephrine
Postoperative Complications
Pregnancy
Ephedrine
Phenylephrine