Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature
Neuromyelitis optica (NMO) is a rare demyelinating disorder affecting the spinal cord and optic nerves. Like multiple sclerosis (MS), it predominantly affects women during childbearing years. The impact of neuraxial anesthesia on the course of NMO is uncertain. There are no large studies available t...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2018/2404756 |
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| _version_ | 1850105699633201152 |
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| author | Alexandra Chang Brian Chung Rashmi Vandse |
| author_facet | Alexandra Chang Brian Chung Rashmi Vandse |
| author_sort | Alexandra Chang |
| collection | DOAJ |
| description | Neuromyelitis optica (NMO) is a rare demyelinating disorder affecting the spinal cord and optic nerves. Like multiple sclerosis (MS), it predominantly affects women during childbearing years. The impact of neuraxial anesthesia on the course of NMO is uncertain. There are no large studies available to draw definitive conclusions regarding the safety of neuraxial anesthesia in this population. A review of the current literature suggests that neuraxial anesthesia is unlikely to exacerbate neurologic symptoms in pregnant patients with NMO. However, given the rarity of this disease entity among patients requesting epidural labor analgesia, we recommend taking a cautious approach. |
| format | Article |
| id | doaj-art-38b6cf7a8ea84bbca7cd5dcee2bd1675 |
| institution | OA Journals |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-38b6cf7a8ea84bbca7cd5dcee2bd16752025-08-20T02:38:59ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/24047562404756Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the LiteratureAlexandra Chang0Brian Chung1Rashmi Vandse2Anesthesia, Loma Linda University, Loma Linda, Ca, USAAnesthesia, Loma Linda University, Loma Linda, Ca, USAAnesthesia, Loma Linda University, Loma Linda, Ca, USANeuromyelitis optica (NMO) is a rare demyelinating disorder affecting the spinal cord and optic nerves. Like multiple sclerosis (MS), it predominantly affects women during childbearing years. The impact of neuraxial anesthesia on the course of NMO is uncertain. There are no large studies available to draw definitive conclusions regarding the safety of neuraxial anesthesia in this population. A review of the current literature suggests that neuraxial anesthesia is unlikely to exacerbate neurologic symptoms in pregnant patients with NMO. However, given the rarity of this disease entity among patients requesting epidural labor analgesia, we recommend taking a cautious approach.http://dx.doi.org/10.1155/2018/2404756 |
| spellingShingle | Alexandra Chang Brian Chung Rashmi Vandse Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature Case Reports in Anesthesiology |
| title | Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature |
| title_full | Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature |
| title_fullStr | Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature |
| title_full_unstemmed | Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature |
| title_short | Epidural Labor Analgesia for a Patient with Neuromyelitis Optica: A Case Report and Review of the Literature |
| title_sort | epidural labor analgesia for a patient with neuromyelitis optica a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2018/2404756 |
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