Jabbour H, Jabbour K, Ayoub E N, Yazbeck P, Antakly M-C
Département d'anesthésie-réanimation, Hôtel-Dieu de France, Beyrouth, Liban.
Ann Fr Anesth Reanim. 2004 May;23(5):505-7. doi: 10.1016/j.annfar.2004.01.007.
Moya Moya is a rare disease of uncertain origin, characterised by stenosis of one or both of the internal carotid arteries and responsible of several neurological signs. We present the case of a boy with Moya Moya disease who was scheduled for an epiphisiodesis of the lateral malleola and had a spinal anaesthesia with hyperbaric bupivacaine 0.5% 10 mg without any perioperative complications. Any anaesthetic method could be used, provided special attention is given to avoid changes of capnea and blood pressure to preserve cerebral blood flow and palliate to cerebral flow steal.
烟雾病是一种病因不明的罕见疾病,其特征为一侧或双侧颈内动脉狭窄,并可导致多种神经症状。我们报告一例烟雾病患儿,计划行外踝骨骺阻滞术,采用0.5%重比重布比卡因10mg行脊髓麻醉,未出现任何围手术期并发症。只要特别注意避免呼吸和血压变化以维持脑血流并减轻脑血流盗血,任何麻醉方法均可使用。