Neuraxial anaesthesia for caesarean section in a patient with narcolepsy and cataplexy.

Abstract

We report the management of a morbidly obese parturient suffering from narcolepsy with cataplexy who presented for caesarean section. Her symptoms were controlled by modafinil and fluoxetine. We administered epidural anaesthesia successfully; surgery was uneventful and recovery was uncomplicated. We discuss some of the issues surrounding parturients with narcolepsy including drug therapy and choice of anaesthetic technique.

• Authors: S Soltanifar, R Russell
• Journal: International journal of obstetric anesthesia (Int J Obstet Anesth) Vol. 19 Issue 4 Pg. 440-3 (Oct 2010) ISSN: 1532-3374 [Electronic] Netherlands
• PMID: 20833530 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2010 Elsevier Ltd. All rights reserved.

Chemical References

• Antidepressive Agents, Second-Generation
• Benzhydryl Compounds
• Central Nervous System Stimulants
• Fluoxetine
• Modafinil

Topics

• Adult
• Anesthesia, Epidural
• Anesthesia, Obstetrical
• Antidepressive Agents, Second-Generation (therapeutic use)
• Benzhydryl Compounds (therapeutic use)
• Cataplexy (complications)
• Central Nervous System Stimulants (therapeutic use)
• Cesarean Section
• Female
• Fluoxetine (therapeutic use)
• Humans
• Modafinil
• Narcolepsy (complications)
• Obesity, Morbid (complications)
• Pregnancy