[Narcolepsy and epidural obstetrical analgesia ].
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.
Dounas
M
M
Service d'anesthésie-réanimation, centre hospitalier général de Lagny Marne-la-Vallée, 31, avenue du Général Leclerc, 77405 Lagny, France. mdounas@ch-lagny77.fr
Peillon
P
P
Lebonhomme
J J
JJ
Guittard
Y
Y
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*