Department of Anesthesiology, Brigham and Women’s Hospital, Boston, MA, USA.
Int J Obstet Anesth. 2012 Oct;21(4):371-5. doi: 10.1016/j.ijoa.2012.06.002. Epub 2012 Aug 24.
Women with neuromyelitis optica, an acute inflammatory demyelinating condition of the central nervous system, have an unpredictable clinical course in pregnancy. Providing neuraxial anesthesia for these patients is controversial, although relapses may occur after exposure to either general or neuraxial anesthesia and are common. We report the successful obstetric anesthesia management of a parturient with neuromyelitis optica, review the medical literature, and discuss specific considerations for obstetric anesthesia in patients with underlying demyelinating disease.
患有视神经脊髓炎（一种中枢神经系统的急性炎症性脱髓鞘疾病）的女性在妊娠期间的临床过程不可预测。为这些患者提供椎管内麻醉存在争议，尽管在接触全身或椎管内麻醉后可能会发生复发，而且这种情况很常见。我们报告了一例视神经脊髓炎患者的产科麻醉管理成功案例，回顾了医学文献，并讨论了潜在脱髓鞘疾病患者产科麻醉的具体注意事项。
