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Journal of Anesthesia

, Volume 31, Issue 2, pp 282–285 | Cite as

Anesthesia management of cesarean section in parturient with anti-N-methyl-d-aspartate receptor encephalitis: a case report

  • Zhimin Liao
  • Xiaoqin Jiang
  • Juan NiEmail author
Clinical Report

Abstract

A 24-year-old woman at 29 weeks’ gestation, and with psychiatric symptoms, was admitted to hospital and diagnosed as having anti-N-methyl-d-aspartate receptor encephalitis. After 4 weeks of immunotherapy with little effect, an emergency cesarean section was performed at 33+4 weeks gestation under general anesthesia. The parturient was intubated after rapid sequence induction with etomidate, remifentanil and succinylcholine. Anesthesia was maintained with sevoflurane and remifentanil. Except for low weight, the infant was normal at birth. The surgery went uneventfully and teratoma or other masses were not found. The parturient was sent to ICU for further treatment without extubation after surgery. She was extubated on the 6th day after surgery and was transferred to the general ward of the neurology department to control her seizures. After the seizures were controlled, she was discharged home on the 80th postoperative day and her neurological symptoms had slowly improved half a year later. This case report presents the anesthetic considerations in patients with anti-NMDAR encephalitis undergoing cesarean section.

Keywords

Anti-N-methyl-d-aspartate receptor encephalitis Anesthesia management Cesarean section 

Notes

Compliance with ethical standards

Conflict of interest

This work was supported by grants from the Support Program of Sichuan Science and Technology Agency (2013FZ0005, Chengdu, China). The authors report no conflicts of interest.

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Copyright information

© Japanese Society of Anesthesiologists 2017

Authors and Affiliations

  1. 1.Department of AnesthesiologyWest China Second Hospital, Sichuan UniversityChengduChina
  2. 2.Key Laboratory of Birth Defects and Related Diseases of Women and ChildrenSichuan University, Ministry of EducationChengduChina

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