General anesthesia for cesarean section in a patient with multiple sclerosis: A case report

Bang, Yun Sic; Chung, Kum Hee; Choi, Seok Hwan; Chun, Duk Hee; Kim, Minsung; Yang, Hyeonjeong; Song, Ji Eun; Lee, Jong Yeon

Case Report

Obstetric Anesthesia

Anesthesia and Pain Medicine 2012;7(2):178-180.
Published online May 1, 2012.

General anesthesia for cesarean section in a patient with multiple sclerosis: A case report

Yun Sic Bang, Kum Hee Chung, Seok Hwan Choi, Duk Hee Chun, Minsung Kim, Hyeonjeong Yang, Ji Eun Song, Jong Yeon Lee

Department of Anesthesiology and Pain Medicine, College of Medicine, CHA University, Bundang CHA General Hospital, Seongnam, Korea. anesthkh@cha.ac.kr

Abstract

A 34-year-old female with multiple sclerosis (MS) was scheduled Cesarean section. She had been suffering from MS for 10 years and the symptoms of MS were paraplegia and urinary incontinence. After informed consent, anesthesia was induced with propofol and maintained with nitrous oxide, sevoflurane and fentanyl. Rocuronium was used for muscle relaxation and tracheal intubation. Train of four (TOF) ratio and bispectral index scale were monitored for adequate muscle relaxation and depth of anesthesia. She gave birth to a baby within 7 minutes after skin incision. When operation was over, TOF ratio was 0.8. She emerged from general anesthesia smoothly and was extubated. There was no febrile event or exacerbation of MS after Cesarean section under general anesthesia. We report a safe anesthetic management of the parturient with MS, using sevoflurane.

Key Words: Cesarean section, General anesthesia, Multiple sclerosis