Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets.
OBJECTIVE
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.
Gaiser
R R
RR
Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Antonik
L
L
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D016080:Arachnoid Cysts / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D007752:Obstetric Labor, Premature; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D011272:Pregnancy, Multiple; D014310:Triplets