Management of Anesthesia in a Pregnant with Behçet’s Disease

Abstract

ÖZETBehçet hastalığı Dr. Hulusi Behçet tarafından 1937'de tanımlan-mıştır. Behçet hastalığı tekrarlayan oral ve genital ülserlerin gö-rüldüğü, göz, deri, eklem, damar, sinir

Anesthetic Management of an Obstetric Patient with Behçet’s Disease Complicated by Transverse Myelitis

“…The inflammatory nature of TM and BD may lead to difficulties in intubation and ventilation due to ulceration of the oropharyngeal space [ 8 ]; intubation itself is a risk factor for ulceration in patients with BD. Thus, these neurological and dermatologic issues present a challenge during anesthesia [ 9 ]. Some of these skin manifestations include mucocutaneous disorders characterized by recurrent aphthous ulcers, ulcers in the external genitalia, and acneiform skin lesions.…”

“…Another pregnant woman with BD was asymptomatic upon her presentation for labor. The perioperative period was unremarkable; intubation went smoothly, and the patient did not develop any neurological complications postoperatively [ 9 ]. Thus, none of these cases presented with severe neurological symptoms, and neuroaxial anesthesia was not preferred regardless of the symptoms.…”

“…Nonetheless, BD, NBD, and TM, all increase the risk of complications and adverse events during anesthesia. Although most pregnant women with TM or BD receive general anesthesia [ 6 , 9 , 10 ], spinal anesthesia has also been shown to be safe [ 11 ].…”