Cesarean section under general anesthesia for antepartum reversible cerebral vasoconstriction syndrome: A case report

2019 ◽  
Vol 45 (12) ◽  
pp. 2461-2465 ◽  
Author(s):  
Richard Descamps ◽  
François Envain ◽  
Grégory Kuchcinski ◽  
Elodie Clouqueur ◽  
Hilde Henon ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

scholarly journals Reversible cerebral vasoconstriction syndrome following carotid artery stenting: a case report

Nosotchu ◽  
2017 ◽  
Vol 39 (4) ◽  
pp. 299-303 ◽  
Author(s):  
Yosuke Watanabe ◽  
Akihiko Takechi ◽  
Yoshinori Kajiwara ◽  
Go Seyama
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction

Reversible cerebral vasoconstriction syndrome triggered by an electronic cigarette: case report

2015 ◽  
Vol 22 (5) ◽  
pp. e64-e65 ◽  
Author(s):  
S. Vannier ◽  
T. Ronziere ◽  
J. C. Ferre ◽  
V. Lassalle ◽  
M. Verin
Keyword(s):  
Case Report ◽  
Electronic Cigarette ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Cerebral Vasoconstriction

scholarly journals Case Report: Reversible Cerebral Vasoconstriction Syndrome in a cancer patient using ZoladexTM

2021 ◽  
Author(s):  
Paolla Giovanna Rossito de Magalhães ◽  
Marina Buldrini Filogonio Seraidarian ◽  
Bernardo Tardin Caetano ◽  
Barbara Oliveira Paixão ◽  
Tassila Oliveira Nery de Freitas ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Angiography ◽  
Postpartum Period ◽  
Cerebral Arteries ◽  
Superficial Temporal Artery ◽  
Chronic Administration ◽  
Temporal Artery ◽  
Reversible Cerebral Vasoconstriction Syndrome ◽  
Gnrh Analogue ◽  
Cerebral Vasoconstriction

Context: The Reversible Cerebral Vasoconstriction Syndrome (SVCR) is characterized by rapid and reversible vasoconstriction and segmental dilation of cerebral arteries, usually preceded by thunderclap headache. The involvement of second and third-order branches of the cerebral arteries is the most commom finding in a cerebral angiography. This report is about a SVCR case with atypical involvement, significantly compromising extracranial vessels and raising the hypothesis of association between the use of hormonal blocker gosserelin acetate (ZoladexTM) with SVCR. Case report: Female, 39 years old, with breast cancer and bone metastasis using ZoladexTM that presented with a sudden headache and vomiting, progressing to global afasia and paresis in the right upper limb. Magnetic resonance identified hyperacute intraparenchymal hematoma in left frontoparietal convexity and subarachnoid haemorrhage. Cerebral angiography showed irregularities in the distal branches (M3 and M4) of the middle cerebral arteries, as well as in the superficial temporal artery, characterized by focal strictures. Conclusion: Studies show that hormonal fluctuations in the postpartum period can trigger SVCR due to the drop in estrogen and progesterone (gonadotropins). During postpartum, the stimulus of breastfeeding increases prolactin levels leading to GnRH suppression, which decreases the level of gonadotropins. ZoladexTM is a GnRH analogue and its chronic administration results in suppression of these hormones - similar to the postpartum period. Therefore, there may be an association of hormonal blockers with SVCR.

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