International Journal of Women's Health and Reproduction Sciences

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December 2014, Vol 2, Issue 5

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Case Report
Anesthetic Management and Postoperative Care of a Patient with CADASIL (Cerebral Arteriopathy, Autosomal Dominant, with Subcortical Infarcts and leukoencephalopathy) for Cesarean Section
Sousan Rasooli¹, Farnaz Moslemi¹, Simin Tagavi²
¹Associate Professor of Anesthesiology, Department Of Anesthesiology, Tabriz University Of Medical Sciences, Tabriz, Iran ²Associate Professors of Gynaecology, Department Of Gynaecology, Tabriz University Of Medical Sciences, Tabriz, Iran
IJWHR 2014; 2: 326–328 DOI: 10.15296/ijwhr.2014.55 Viewed : 5443 times Downloaded : 5302 times. Keywords : Cerebral Arteriopathy, Anesthetic Management, Pregnancy
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Abstract

CADASIL (cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy) is an infrequent inherited small artery disease that could have anesthetic implications. However these have rarely been reported. We present an anesthetic experience of a female patient previously diagnosed with CADASIL, who had suffered an ischemic vascular cerebral accident with a MRI compatible with leukoencephalopathy, and who was dependent for daily activities, mood alterations, apathy, and urine incontinence. We discuss anesthetic management of CADASIL patient, considering protection from further cerebral ischemia.