Anaesthesia for caesarean section in a patient with Sturge–Weber syndrome following acute neurological deterioration

Tadrous, R.; Mhuirchteagh, R. Ni; McCaul, Conán

doi:10.1016/j.ijoa.2010.11.011

Cited by 11 publications

(11 citation statements)

References 18 publications

(22 reference statements)

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“…Dolkart and Bhat reported a case of epilepsy recurring in a woman with SWS antenatally and postnatally with normal non-contrast MRI, but a small left intraventricular haemorrhage on CT brain. 8 In another case report, 9 a woman with SWS presented with stroke before delivery and imaging showed a small cavernous angioma in the right occipitoparietal region. Chabriat et al 10 report a case of severe hemiplegia, hemianopia and aphasia in the third trimester.…”

Section: Discussionmentioning

confidence: 96%

“…Klippel-Trenaunay syndrome (KTS) or Parkes Weber syndrome (PWS). Regional anaesthesia has been performed successfully in pregnancy 9,14 and is the preferred technique by many. 15 Epidural anaesthesia also has benefits for labouring parturients in avoiding increases in intracranial pressure and allowing for an assisted second stage of labour if required.…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac abnormalities are rare in SWS but septal defects, valvular lesions and transposition of the great vessels have been reported, and should be ruled out. 15 In case reports of SWS in pregnancy, the predominant mode of delivery (when the information is given) is by CS 9,10,17–19 often prompted by neurological deterioration or concerns, but influenced by maternal request in one case. 18 In one woman who had a small intraventricular haemorrhage four days post-delivery, labour had been induced, followed by a CS at full dilatation.…”

Section: Discussionmentioning

confidence: 99%

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Sturge-Weber syndrome: Case report, literature review and proposed pregnancy care plan

2021

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The pregnancy of a 38-year-old woman with Sturge-Weber syndrome and epilepsy is described here, with safe outcome for mother and baby despite considerable controversy about peripartum care. Literature review reveals seven case reports of pregnancy in women with Sturge-Weber syndrome and there is little to guide clinicians in the management of these complex cases. A care pathway for women with Sturge-Weber syndrome that are planning pregnancy or are pregnant is proposed.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sturge-Weber syndrome: Case report, literature review and proposed pregnancy care plan

2021

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“…The neurologic complications that arose did not seem to be directly related to the delivery. [5][6][7][10][11][12]16 Therefore, as SWS-associated angiomas theoretically may be at risk of complications during the labor process, a more controlled delivery method, such as cesarean section, may be selected for a patient with large angiomas or a history of intracranial hemorrhage. Additionally, if general anesthesia is used, care should be taken to avoid agents that could increase intracranial pressure and thereby increase the risk of intracranial hemorrhage.…”

Section: Other Casesmentioning

confidence: 99%

Pregnancy and refractory epilepsy in Sturge–Weber syndrome: Challenges and outcomes

Olson

McKee

2023

Epileptic Disorders

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Sturge–Weber Syndrome (SWS) is a rare neurocutaneous disorder caused by focal vascular dysplasia. It is associated with facial angiomas, ocular abnormalities, epilepsy, intellectual disability, and leptomeningeal angiomas. There is a paucity of literature regarding the management of epilepsy and pregnancy in women with SWS. The effects of pregnancy on this syndrome therefore remain largely undefined. Consensus on management is needed; as pregnancy has widespread effects on the vascular system and therefore may pose risk in women with SWS. This is a comprehensive review of the existing literature and case report of a woman with SWS, refractory epilepsy, and a successful pregnancy and delivery. Fifteen cases were found and, in addition to our case, 14 cases were reviewed, 11 of which discuss labor and delivery. Neurological complications were described in four cases and successful delivery without complication occurred in seven patient cases.

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“…Oral hemanjiomlar maske ve entübasyon için zorluk yaratırken, vertebra ve sakrum boyunca olabilecek hemanjiyomlar nöroaksiyel blokları güçleştirebilir ya da yapılmasını tümüyle engelleyebilir. Sendrom glokom ve serebrovasküler olaylara eşlik edebileceğinden anestezi uygulamaları sırasında intra kraniyal ve intra orbital basıncı artırabilecek girişimlerden kaçınılmalıdır (4).…”

Section: Introductionunclassified

Sturge-Weber Sendromlu Olguda Anestezi Yonetimi

2018

GMJ

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ÖZETSturge-Weber Sendromu sporadik olarak ortaya çıkan, konjenital gelişen, nörokutanöz bir hastalıktır. Bu hastalıkta leptomeningeal hemanjiom, trigeminal sinir bölgesine dağılmış genellikle tek taraflı Porto şarabı nevus, oküler anomali (glokom) görülür. Hemanjiomların yerleşimi ve büyüklüğü, intraoküler ve intrakaranyal basıncın korunması anestezi uygulamalarında özel dikkat gerektirir. Bu yazıda genel anestezi altında sağ spermatik kord kisti eksizyonu ve sünnet planlanan 4 yaşındaki erkek olguda anestezi yönetimi sunularak literatür bilgileri ışığında tartışılması hedeflenmiştir. ABSTRACT Sturge-Weber Syndrome is a sporadic, congenital, neuro-cutaneous disease. In this disease, leptomeningeal hemangioma, the unilateral Port wine nevus that distributed in the trigeminal nerve region and ocular anomaly (glaucoma) is usually seen. The placement and size of hemangiomas requires special attention in the practice of anesthesia for the protection of intraocular and intracranial pressures. In this article, we aimed to present anesthesia management under general anesthesia in the case of 4-year-old male who planned the right spermatic cord cyst excision plus circumcision and discussion in the light of literature information.

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Anaesthesia for caesarean section in a patient with Sturge–Weber syndrome following acute neurological deterioration

Cited by 11 publications

References 18 publications

Sturge-Weber syndrome: Case report, literature review and proposed pregnancy care plan

Sturge-Weber syndrome: Case report, literature review and proposed pregnancy care plan

Pregnancy and refractory epilepsy in Sturge–Weber syndrome: Challenges and outcomes

Sturge-Weber Sendromlu Olguda Anestezi Yonetimi

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