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CASE REPORTS
JOURNAL ARTICLE
Neuraxial anaesthesia for caesarean section in a patient with narcolepsy and cataplexy.
International Journal of Obstetric Anesthesia 2010 October
We report the management of a morbidly obese parturient suffering from narcolepsy with cataplexy who presented for caesarean section. Her symptoms were controlled by modafinil and fluoxetine. We administered epidural anaesthesia successfully; surgery was uneventful and recovery was uncomplicated. We discuss some of the issues surrounding parturients with narcolepsy including drug therapy and choice of anaesthetic technique.
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