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Successful Pregnancy,Epidural Anaesthesia,Labour, and Delivery in a Woman With Sturge-Weber Syndrome and Previous Hemispherectomy
Authors:Aly Shah Aziz  Dini Hui  Vinod Chinnappa  Richard I. Aviv  Richard H. Swartz
Affiliation: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;1. Endocrinology Unit, Universidade Federal do Vale do São Francisco, Petrolina, Brazil;2. Department of Nursery Graduation, Universidade Federal do Vale do São Francisco, Petrolina, Brazil;3. Universidade Federal do Vale do São Francisco, Petrolina, Brazil;4. Department of Fetal Medicine, Instituto de Medicina Integral Professor, Fernando Figueira, Recife, Brazil;5. Department of Fetal Medicine, Hospital Dom Malan, Petrolina, Brazil;6. Instituto de Medicina Integral Professor, Fernando Figueira, Recife, Brazil;7. Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto ON;8. Departments of Medicine and Obstetrics and Gynecology, St. Michael’s Hospital, University of Toronto, Toronto ON;1. Obstetric and Gynecologic Department, Sichuan University Huaxi Second Hospital, Sichuan Province, China;2. Surgical and Gynecologic Oncology, Amrita Vishwavidyapeetham, Kochi, Kerala, India;3. Division of Gynecologic Oncology, Jewish General Hospital/Segal Cancer Centre/McGill University, Montreal QC;4. Oncology Department, Sichuan University Huaxi Hospital, Sichuan Province, China;5. Department of Medical Oncology, Amrita Institute of Medical Sciences, Amrita Vishwavidyapeetham, Kochi, Kerala, India;1. Department of Obstetrics and Gynaecology, Sainte Justine Hospital (CHU Sainte-Justine), Montreal QC;2. CHU Sainte-Justine Research Centre, Montreal QC;3. Applied Clinical Research Unit, CHU Sainte-Justine Research Centre, Montreal QC;4. Maternal-Fetal Medicine Division, CHU Sainte-Justine, University of Montreal, Montreal QC;1. Department of Economics, University of Regina, Regina SK
Abstract:
BackgroundThe 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.CaseA 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.ConclusionAs 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:Hemispherectomy  Sturge-Weber syndrome  cerebral palsy  anaesthesia  epidural
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