ArticleCureus2026
Anesthetic Management Using Epidural Anesthesia and Continuous Intravenous Remifentanil in a Cesarean Section With Tethered Cord Syndrome: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Spinal anesthesia is contraindicated in parturients with tethered cord syndrome undergoing cesarean sections. The epidural approach is an attractive anesthetic alternative. However, sacral complications can compromise their efficacy. A 33-year-old parturient with a history of spina bifida and tethered cord syndrome was admitted for a cesarean section. Since imaging studies showed no abnormalities in the epidural space at the lumbar level, the anesthesiologist proposed epidural anesthesia. Continuous intravenous remifentanil provided additional analgesia. During uterine incision closure, the parturient complained of deep visceral pain. Consequently, the intravenous remifentanil dose was increased. The perioperative course for the parturient and neonate was uneventful. For our parturient with tethered cord syndrome, the combination of epidural anesthesia and continuous intravenous remifentanil provided stable anesthesia during the cesarean section without apparent adverse effects to the parturient and neonate.
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