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Successful Epidural Anesthesia in a Patient With an Arachnoid Cyst, Preeclampsia, and Triplets
  1. Robert R. Gaiser, M.D. and
  2. Laurie Antonik, M.D.
  1. Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
  1. Reprint requests: Robert R. Gaiser, M.D., Department of Anesthesia, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.


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.

Methods Epidural anesthesia was used in a parturient with a triplet pregnancy preeclampsia, and a documented arachnoid cyst extending from T11 to L1.

Results Epidural anesthesia was successfully used in this high-risk patient, and airway manipulation, which would have been difficult in this patient, was thereby avoided.

Conclusions Arachnoid cysts are not a contraindication to major conduction anesthesia, as is confirmed by a review of arachnoid cysts and anesthetic considerations.

  • epidural analgesia
  • arachnoid cyst
  • preeclampsia
  • triplet pregnancy

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