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J Obstet Gynaecol Can. 2013 Oct;35(10):917-919. doi: 10.1016/S1701-2163(15)30814-8.

Successful pregnancy, epidural anaesthesia, labour, and delivery in a woman with Sturge-Weber syndrome and previous hemispherectomy.

Author information

1
Department of Neurology, The Hospital for Sick Children, University of Toronto, Toronto ON.
2
Department of Obstetrics and Maternal Fetal Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto ON.
3
Department of Anaesthesia, Women's College Hospital, University of Toronto, Toronto ON.
4
Department of Medical Imaging, Sunnybrook Health Science Centre, University of Toronto, Toronto ON.
5
Department of Medicine (Neurology), Sunnybrook Health Sciences Centre, University of Toronto, Toronto ON.

Abstract

in English, French

BACKGROUND:

The outcomes of pregnancy and subsequent delivery of healthy neonates in women who have undergone previous near total hemispherectomy for Sturge-Weber syndrome (SWS) have rarely been reported.

CASE:

A woman with SWS had two successful and uncomplicated pregnancies and deliveries under epidural anaesthesia after undergoing a near total hemispherectomy with subsequent unilateral cerebral palsy. Non-contrast MRI of the brain revealed post hemispherectomy changes with no residual meningeal angiomatosis.

CONCLUSION:

As more women who undergo surgical resection for underlying SWS grow into the child-bearing years, additional reports of pregnancy and delivery outcomes in this patient population can be expected and will be valuable.

KEYWORDS:

Sturge-Weber syndrome; anaesthesia; cerebral palsy; epidural; hemispherectomy

PMID:
24165060
DOI:
10.1016/S1701-2163(15)30814-8
[Indexed for MEDLINE]
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