Anaesthesia for Caesarean section in Takayasu's disease.
OBJECTIVE
We present a case of Takayasu's Disease (Occlusive Thromboaortopathy-OTAP) in which general anaesthesia was used for Caesarean section with processed encephalographic monitoring to detect cerebral ischaemia.


METHODS
The patient was a 33-year-old woman in whom OTAP had been the cause of cerebrovascular events. She had the typical pulseless upper body of OTAP and had documented severe bilateral carotid artery stenoses. Regional anaesthesia had failed in the past and she demanded general anaesthesia for Caesarean section. Processed electroencephalography was used to assist in monitoring for signs of cerebral ischaemia and the surgery was uncomplicated.


CONCLUSIONS
The use of processed electroencephalographic monitoring allows some assessment of cerebral haemodynamics during general anaesthesia in patients who refuse regional techniques.
Clark
A G
AG
Department of Anaesthesia, Dalhousie University, Saint John Regional Hospital, Canada.
al-Qatari
M
M
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002585:Cesarean Section; D004569:Electroencephalography; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D013625:Takayasu Arteritis / Q000503:physiopathology*