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Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets
1Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Background And Objectives:
Arachnoid cysts are a frequent finding on magnetic resonance imaging; however, the use of major conduction anesthesia in patients with these cysts has not been reported.
Methods:
Epidural anesthesia was used in a parturient with a triplet pregnancy preeclampsia, and a documented arachnoid cyst extending from TII to LI.
Results:
Epidural anesthesia was successfully used in this high-risk patient, and airway manipulation, which would have been difficult in this patient, was thereby avoided.
Conclusions:
Arachnoid cysts are not a contraindication to major conduction anesthesia, as is confirmed by a review of arachnoid cysts and anesthetic considerations.