[Subarachnoid anesthesia for cesarean section in a patient with multiple sclerosis: case report.].
OBJECTIVE
Multiple sclerosis is an acquired disease characterized by demyelinated areas in the brain and spinal cord. The clinical presentation depends on the anatomical areas involved. The main causes of death are infection, respiratory failure, and status epilepticus. It affects genetically predisposed patients after contact with environmental factors, especially viruses. The objective of this report was to present the anesthetic technique used in a patient with multiple sclerosis undergoing cesarean section.


METHODS
A 32-year old patient, 60 kg, with multiple sclerosis, treated with methylprednisolone, was admitted to the obstetric ward for a cesarean section. After monitoring, subarachnoid anesthesia was performed with 0.5% hyperbaric bupivacaine (12.5 mg) associated with morphine (0.1 mg). The procedure evolved without any intercurrences and the patient was discharged from the hospital 48 hours after delivery without worsening of her symptoms.


CONCLUSIONS
This case suggests that spinal anesthesia can be administered in patients with multiple sclerosis without the acute worsening of their symptoms in the postoperative period.
Barbosa
Fabiano Timbó
FT
Unidade de Emergência Armando Lages.
Bernardo
Ronaldson Correia
RC
Cunha
Rafael Martins da
RM
Pedrosa
Maria do Socorro Melo
Mdo S