Moyamoya Hastalığı Olan Gebe Hastada Sezaryen için Anestezi Yaklaşımı: Olgu Sunumu

Year 2020, Volume: 6 Issue: 2, 311 - 313, 01.01.2020

Bora Dinç İlker Öngüç Aycan Cihan Sanbirgan Nesil Coşkun Fırat Suat Şanlı

Abstract

Moyamoya Willis poligonu ve internal karotid arterlerde bilateral progresif ilerleyen ve sonucunda kolleteral damarların gelişmesiyle karakterize nadir bir serebrovasküler hastalıktır. Japonya’da 1957 yılında ilk anjiyografik görüntülemesi yapıldı ve “havada dağılan sigara dumanı” anlamına gelen Moyamoya denmiştir. Etiyolojisi tam olarak bilinmemektedir. Olgumuz 32 yaşında 34 hafta + 3 günlük gebe acil sezeryana alınmıştır. Hasta 10 yıl önce Moyamoya tanısı almış ve bu durumundan dolayı günlük 150 mg asetilsalisilik asit reçete edilmiştir. Hastanın nörolojik muayenesi preoperatif dönemde normaldi. Hasta dikkatli takip ve yavaş indüksiyon ile başarılı bir şekilde ameliyat edildi

Keywords

Moyamoya, Sezaryen, Anestezi

Anesthetic Approach for Cesarean Section in a Pregnant Patient with Moyamoya Disease: A Case Report

Abstract

Moyamoya is a rare cerebrovascular disease characterized by its bilateral progress in the circle of Willis and internal carotid arteries, causing the development of collateral vessels. Its first angiographic image was taken in Japan in 1957, and it was called Moyamoya, meaning “a puff of smoke in the air”. Its etiology is not known accurately. Our patient was a 32-year old, 34- week 3-day pregnant woman, who was taken for an emergency cesarean section. The patient was diagnosed with Moyamoya 10 years ago, and she has prescribed 150 mg of acetylsalicylic acid per day for her condition. The patient’s neurological examinations were normal during the preoperative period. The patient was successfully operated following an attentive follow-up and slow induction

Keywords

Moyamoya, Cesarean section, Anesthesia

References

• Hoffman HJ. Moyamoya disease and syndrome. Clin Neurol Neurosurg 1997; 99(2):39-44.
• Baaj AA, Agazzi S, Sayed ZA, Toledo M, Spetzler RF, van Loveren H. Surgical management of moyamoya disease: A review. Neurosurg Focus 2009; 26(4):E7.
• Kuroda S, Houkin K. Moyamoya disease: Current concepts and future perspectives. Lancet Neurology 2008; 7(11):1056-66.
• Scott RM, Smith ER. Moyamoya Disease and Moyamoya Syndrome. N Engl J Med 2009; 360: 1226-37.
• Dutta B, Dehran M, Sinha R. Anaesthetic management of a parturient with moyamoya disease. Singapore Med J 2011; 52(6):108-10.
• Parray T, Martin TW, Siddiqui S. Moyamoya disease: A review of the disease and anesthetic management. J Neurosurg Anesthesiol 2011; 23(2):100-9.
• Machado SB, Mendes FF, Angelini Ade C. Moyamoya disease and sevoflurane anesthesia outside the surgery center. Rev Bras Anestesiol 2002; 52(3):344-7.
• Ngan Kee WD, Gomersall CD. Extradural anaesthesia for caesarean section in a patient with moyamoya disease. Br J Anaesth 1996; 77(4):550-2.
• Malley RA, Frost EA. Moyamoya disease: Pathophysiology and anesthetic management. J Neurosurg Anesthesiol 1989; 2:110-4.