Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets.Reg Anesth. 1996 Nov-Dec; 21(6):592-4.RA
BACKGROUND AND OBJECTIVES
Arachnoid cysts are a frequent finding on magnetic resonance imaging; however, the use of major conduction anesthesia in patients with these cysts has not been reported.
Epidural anesthesia was used in a parturient with a triplet pregnancy preeclampsia, and a documented arachnoid cyst extending from TII to LI.
Epidural anesthesia was successfully used in this high-risk patient, and airway manipulation, which would have been difficult in this patient, was thereby avoided.
Arachnoid cysts are not a contraindication to major conduction anesthesia, as is confirmed by a review of arachnoid cysts and anesthetic considerations.