Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain.
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2022 Oct;69(8):493-496. doi: 10.1016/j.redare.2022.08.002. Epub 2022 Sep 7.
Tarlov cysts are a pathological dilatation of the meninges. Their incidence is more frequent in women between 30 and 50 years of age. The imaging test of choice for diagnosis is MRI. Of unknown etiology, most cases are asymptomatic, but symptoms of radicular irritation, among others, may occur. The therapeutic possibilities are multiple, reserving surgical excision as the last option. We report a case of successful spinal anaesthesia for elective cesarean section in a patient with a giant Tarlov cyst but with potential airway compromise, in whom the risks of general anaesthesia would be increased. Anaesthetic management presents a challenge for the anesthesiologist, especially in situations where the patient presents an increased anaesthetic risk for general anaesthesia, as is the case in the obstetric patient.
Tarlov 囊肿是脑膜的病理性扩张。其发病率在 30 至 50 岁的女性中更为常见。诊断的首选影像学检查是 MRI。病因不明，大多数病例无症状，但可能出现神经根刺激等症状。治疗方法多种多样，保留手术切除作为最后选择。我们报告了一例成功的椎管内麻醉用于择期剖宫产的病例，患者患有巨大 Tarlov 囊肿，但存在潜在的气道阻塞，全麻的风险会增加。麻醉管理对麻醉师来说是一个挑战，尤其是在患者存在全麻麻醉风险增加的情况下，如产科患者。
