Anesthesia & Clinical Research
Open Access

José Helio Ribeiro Zen Jr

Publications

• Research Article
  General Anesthesia for Elective Cesarean Section in a Patient with Moyamoya Disease
  Author(s): Jose Alexandre Colli Neto, Jefferson Zorzi Costa, Andreza Teixeira Barreta, Jose Helio Zen Jr, Fernando Eduardo Feres Junqueira , Maria Jose and Nascimento Brandao Jose Alexandre Colli Neto, Jefferson Zorzi Costa, Andreza Teixeira Barreta, Jose Helio Zen Jr, Fernando Eduardo Feres Junqueira , Maria Jose and Nascimento Brandao
  
  Moyamoya disease (MMD) is defined by vaso-occlusive changes at the internal carotid and cerebral arteries, leading to proliferation of an abnormal vascular network at the base of the brain. The disease is manifested by ischemic, hemorrhagic strokes or transient ischemic attacks. Pregnant and puerperal MMD patients may be at a higher risk of developing new strokes as well as during the peripartum period. The aim of the current study is to report a case of an obstetric MMD patient. A 22 year-old term female patient was diagnosed with MMD after having a stroke at 2 years of age, resulting in hemiparesis and paresthesia of the left upper and left lower limbs. Intravenous general anesthesia was performed with continuous remifentanil and propofol infusions. Hemodynamic alterations did not occur before childbirth. After childbirth, hypotension occurred and was reversed with metaram.. View More»
  DOI: 10.4172/2155-6148.1000879

  Abstract PDF

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