Anaesthetic management in neurological disorders: is combined spinal-epidural a suitable option? Case report

Tuberous sclerosis (TSC) is a rare disease with multi-systemic involvement, predominantly neurological. Little evidence exists about the anesthetic management of patients with this disorder, particularly in pregnant women. This article discusses a case of a patient with TSC admitted to our hospital...

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Published inColombian journal of anesthesiology (Inglâes) Vol. 49; no. 3
Main Authors Rodríguez Alcalá, Cristina, Brogly, Nicolas, Díez-Picazo, Luis Díaz, Guasch Arévalo, Emilia, Gilsanz Rodríguez, Fernando
Format Journal Article
LanguageEnglish
Portuguese
Published SCARE-Sociedad Colombiana de Anestesiología y Reanimación 01.09.2021
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Summary:Tuberous sclerosis (TSC) is a rare disease with multi-systemic involvement, predominantly neurological. Little evidence exists about the anesthetic management of patients with this disorder, particularly in pregnant women. This article discusses a case of a patient with TSC admitted to our hospital for the delivery of a twin gestation. Twenty-four hours after surgery, the patient presented left-side facial-brachial hypoesthesia and headache. A brain CT revealed a right frontal cortical bleeding tumor, which was diagnosed as glioblastoma multiforme. The patient was discharged 15 days after admission and a neurosurgical approach was suggested.
ISSN:2422-0248
2256-2087
2256-2087
DOI:10.5554/22562087.e957