title: [Narcolepsy and epidural obstetrical analgesia ].
abstract: We report the case of a parturient with a history of narcolepsy that delivered under epidural anaesthesia without any complication. Patients with narcolepsy might be at risk of delayed recovery or of apneic episodes after general anaesthesia while narcolepsy-cataplexy fits might be more frequent during regional anaesthesia. Avoiding sedative premedication and continuing medical therapy on the day of surgery are recommended to avoid these complications.
authors.affiliation: Service d'anesthésie-réanimation, centre hospitalier général de Lagny Marne-la-Vallée, 31, avenue du Général Leclerc, 77405 Lagny, France. mdounas@ch-lagny77.fr
authors.forename: M
authors.initials: M
authors.lastname: Dounas
authors.forename: P
authors.initials: P
authors.lastname: Peillon
authors.forename: J J
authors.initials: JJ
authors.lastname: Lebonhomme
authors.forename: Y
authors.initials: Y
authors.lastname: Guittard
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009290:Narcolepsy / Q000150:complications*; D011229:Preanesthetic Medication; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*