Abstract

RODRIGUEZ ALCALA, Cristina et al. Anesthetic management in neurological disorders: is combined spinal-epidural a suitable option? Case report. Rev. colomb. anestesiol. [online]. 2021, vol.49, n.3, e600.  Epub June 12, 2021. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e957.

Tuberous sclerosis (TSC) is a rare disease with multi-systemic involvement, predominantly neurological. Little evidence exists about the anesthetic management of patients with this disorder, particularly in pregnant women. This article discusses a case of a patient with TSC admitted to our hospital for the delivery of a twin gestation. Twenty-four hours after surgery, the patient presented left-side facial-brachial hypoesthesia and headache. A brain CT revealed a right frontal cortical bleeding tumor, which was diagnosed as glioblastoma multiforme. The patient was discharged 15 days after admission and a neurosurgical approach was suggested.

Keywords : Tuberous Sclerosis; Epidural analgesia; Caesarean Section; Central Nervous System Diseases; Glioblastoma multiforme.

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