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Induction of Paralysis and Visual System Injury in Mice by T Cells Specific for Neuromyelitis Optica Autoantigen Aquaporin-4
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Anesthetic management of a parturient with neuromyelitis optica

N Sadana1, M Houtchens, M K Farber

  • 1Department of Anesthesiology, Brigham and Women’s Hospital, Boston, MA, USA. Neeti-Sadana@ouhsc.edu

International Journal of Obstetric Anesthesia
|August 28, 2012
PubMed

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.

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