Sole Epidural Anaesthesia for Caesarean Section in a Patient with Multiple Sclerosis: A case Report and Literature Review

Authors

  • Biplov neupane Department of Anesthesia, Tribhuvan University Teaching Hospital, Maharajung, Kathmandu, Nepal
  • Dilip Baral Department of Anesthesia, Tribhuvan University Teaching Hospital, Maharajung, Kathmandu, Nepal
  • Bashudev Parajuli Department of Anesthesia, Tribhuvan University Teaching Hospital, Maharajung, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/mjsbh.v22i1.54660

Keywords:

Epidural anesthesia, Multiple sclerosis, Cesarean section

Abstract

Neuraxial blocks in patients with multiple sclerosis has been controversial, because the effect of local anaesthetic drugs on the course of the disease is unclear. We report an obstetric patient with multiple sclerosis whose Caesarian section was performed successfully under sole epidural anesthesia and postoperative pain control was managed using epidural morphine. There were no exacerbations of neurologic symptoms and no relapse of disease at one month follow-up. We suggest that the choice of anaesthetic technique for patients with multiple sclerosis should be determined after evaluation of the course of the disease and informed consent. 

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Published

2023-10-23

How to Cite

neupane, B., Baral, D., & Parajuli , B. (2023). Sole Epidural Anaesthesia for Caesarean Section in a Patient with Multiple Sclerosis: A case Report and Literature Review. Medical Journal of Shree Birendra Hospital, 22(1), 55–57. https://doi.org/10.3126/mjsbh.v22i1.54660

Issue

Section

Case Reports