Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets.

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 TII to LI.

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.