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Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
[Anesthesia in patient with moyamoya disease: case report]
Adriano Bechara de Souza Hobaika1, Vera Coelho Teixeira, Marcos Guilherme Cunha Cruvinel
1CET, SBA, Hospital Felício Rocho, Brazil. hobaika@globo.com
Background And Objectives:
Moyamoya disease is an uncommon progressive cerebral vasculopathy, more frequently diagnosed among Asian individuals, but which has also been described in Brazil. Moyamoya patients may be submitted to different surgical procedures throughout their lives. Anesthesiologists must understand the pathophysiology of the disease and institute adequate perioperative measures to improve patients' prognosis.
Case Report:
Female patient, 22 yr-old, chronic renal failure, with moyamoya disease, scheduled for surgical arterial-venous fistula installation. Anesthesia was induced with fentanyl, propofol and atracurium and maintained with sevoflurane. Patient was maintained in normocapnia and normothermia throughout the procedure. Patient was extubated and transferred to the post-anesthetic care unit without complications.
Conclusions:
This article describes the anaesthetic care of a moyamoya disease patient.
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