PDF(Pubmed)
Abstract：
BACKGROUND: Maternal epilepsy is a critical condition that can significantly affect mothers and fetuses. Notably, the admission of a laboring mother with uncontrolled refractory status epilepticus (RSE) to the operating room presents a challenging scenario for anesthesiologists.
UNASSIGNED: A 30-year-old primigravida was transferred to the operating room for an emergency cesarean section. Cesarean section was performed after a provisional diagnosis of preeclampsia was made.
UNASSIGNED: Cesarean section was performed under general anesthesia. During the postoperative period, the patient exhibited no seizure activity in the brain; however, she experienced mild cognitive dysfunction for up to 6 months postdelivery. The neonate were discharged without any complications.
CONCLUSIONS: Inducing anesthesia in pregnant women with ongoing seizure activity are challenging; however, anesthesiologists provide judgment based on the balance between the safety of the mother and fetus and the balance between patient monitoring and the progression of anesthesia. This challenge can be addressed through multidisciplinary collaboration.
UNASSIGNED: A 30-year-old primigravida was transferred to the operating room for an emergency cesarean section. Cesarean section was performed after a provisional diagnosis of preeclampsia was made.
UNASSIGNED: Cesarean section was performed under general anesthesia. During the postoperative period, the patient exhibited no seizure activity in the brain; however, she experienced mild cognitive dysfunction for up to 6 months postdelivery. The neonate were discharged without any complications.
CONCLUSIONS: Inducing anesthesia in pregnant women with ongoing seizure activity are challenging; however, anesthesiologists provide judgment based on the balance between the safety of the mother and fetus and the balance between patient monitoring and the progression of anesthesia. This challenge can be addressed through multidisciplinary collaboration.
摘要：
背景：母亲癫痫是一种严重的疾病，可以显着影响母亲和胎儿。值得注意的是,一位患有不受控制的难治性癫痫持续状态（RSE）的劳动母亲进入手术室对麻醉师来说是一个具有挑战性的情况。
■一名30岁的primigravida被转移到手术室进行紧急剖宫产。在先兆子痫的临时诊断后进行剖宫产。
■在全身麻醉下进行剖宫产。在术后期间，患者在大脑中没有表现出癫痫发作活动；然而，她在分娩后6个月内出现轻度认知功能障碍.新生儿出院,无并发症发生。
结论：在持续发作的孕妇中诱导麻醉是具有挑战性的；然而，麻醉医师根据母亲和胎儿的安全性之间的平衡以及患者监测与麻醉进展之间的平衡来提供判断。这一挑战可以通过多学科合作来解决。
■一名30岁的primigravida被转移到手术室进行紧急剖宫产。在先兆子痫的临时诊断后进行剖宫产。
■在全身麻醉下进行剖宫产。在术后期间，患者在大脑中没有表现出癫痫发作活动；然而，她在分娩后6个月内出现轻度认知功能障碍.新生儿出院,无并发症发生。
结论：在持续发作的孕妇中诱导麻醉是具有挑战性的；然而，麻醉医师根据母亲和胎儿的安全性之间的平衡以及患者监测与麻醉进展之间的平衡来提供判断。这一挑战可以通过多学科合作来解决。
