{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:50:00Z","timestamp":1773759000017,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,17]]},"DOI":"10.7759\/cureus.105370","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T12:31:52Z","timestamp":1773750712000},"source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management Using Epidural Anesthesia and Continuous Intravenous Remifentanil in a Cesarean Section With Tethered Cord Syndrome: A Case Report"],"prefix":"10.7759","author":[{"given":"Kenichi","family":"Takechi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aki","family":"Kawano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Takasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erina","family":"Masaoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2025.02.040","article-title":"Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society recommendations (part 2)-2025 update","volume":"233","author":"Caughey AB","year":"2026","unstructured":"Caughey AB, Sultan P, Monks DT, et al.. Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society recommendations (part 2)-2025 update. Am J Obstet Gynecol. 2026, 233:S170-83. 10.1016\/j.ajog.2025.02.040","journal-title":"Am J Obstet Gynecol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004289","article-title":"Complications after spinal anesthesia in adult tethered cord syndrome","volume":"95","author":"Liu JJ","year":"2016","unstructured":"Liu JJ, Guan Z, Gao Z, Xiang L, Zhao F, Huang SL. Complications after spinal anesthesia in adult tethered cord syndrome. Medicine (Baltimore). 2016, 95:e4289. 10.1097\/MD.0000000000004289","journal-title":"Medicine (Baltimore)"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12001","article-title":"Cord injury after spinal anaesthesia in a patient with previously undiagnosed Klippel-Feil syndrome","volume":"7","author":"Stevens E","year":"2019","unstructured":"Stevens E, Williams B, Kock N, Kitching M, Simpson MP. Cord injury after spinal anaesthesia in a patient with previously undiagnosed Klippel-Feil syndrome. Anaesth Rep. 2019, 7:7-10. 10.1002\/anr3.12001","journal-title":"Anaesth Rep"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2025.1518456","article-title":"Impact of general vs. neuraxial anesthesia on neonatal outcomes in non-elective cesarean sections","volume":"13","author":"Cocchi E","year":"2025","unstructured":"Cocchi E, Pini R, Gallipoli A, Stella M, Antonazzo P, Marchetti F, Agnoletti V. Impact of general vs. neuraxial anesthesia on neonatal outcomes in non-elective cesarean sections. Front Pediatr. 2025, 13:1518456. 10.3389\/fped.2025.1518456","journal-title":"Front Pediatr"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-023-03287-0","article-title":"Perinatal outcomes comparison between neuraxial and general anesthesia in pregnant women with placenta accreta spectrum: a multicenter retrospective study","volume":"38","author":"Liu C","year":"2024","unstructured":"Liu C, Chu R, Song N, et al.. Perinatal outcomes comparison between neuraxial and general anesthesia in pregnant women with placenta accreta spectrum: a multicenter retrospective study. J Anesth. 2024, 38:167-78. 10.1007\/s00540-023-03287-0","journal-title":"J Anesth"},{"key":"ref6","unstructured":"The EQUATOR network. (n.d). Accessed. March 17, 2026: https:\/\/www.equator-network.org\/reporting-guidelines\/."},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1990.tb14568.x","article-title":"Spinal catheter anaesthesia for caesarean section in a patient with spina bifida","volume":"45","author":"Nuyten F","year":"1990","unstructured":"Nuyten F, Gielen M. Spinal catheter anaesthesia for caesarean section in a patient with spina bifida. Anaesthesia. 1990, 45:846-7. 10.1111\/j.1365-2044.1990.tb14568.x","journal-title":"Anaesthesia"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2025.111319","article-title":"Anesthesia management for cesarean section in pregnant women with occult spina bifida: a case report and literature review","volume":"131","author":"Yang L","year":"2025","unstructured":"Yang L, Li C. Anesthesia management for cesarean section in pregnant women with occult spina bifida: a case report and literature review. Int J Surg Case Rep. 2025, 131:111319. 10.1016\/j.ijscr.2025.111319","journal-title":"Int J Surg Case Rep"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000005785","article-title":"Neonatal outcomes with regional versus general anesthesia for cesarean delivery: a meta-analysis of randomized controlled trials","volume":"144","author":"Langer S","year":"2026","unstructured":"Langer S, Lim G, Qiu Y, Biaesch J, Neuman MD. Neonatal outcomes with regional versus general anesthesia for cesarean delivery: a meta-analysis of randomized controlled trials. Anesthesiology. 2026, 144:325-36. 10.1097\/ALN.0000000000005785","journal-title":"Anesthesiology"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2025.05.018","article-title":"Neuraxial anesthesia and pain management for cesarean delivery","volume":"233","author":"Landau R","year":"2026","unstructured":"Landau R, Sultan P. Neuraxial anesthesia and pain management for cesarean delivery. Am J Obstet Gynecol. 2026, 233:S135-52. 10.1016\/j.ajog.2025.05.018","journal-title":"Am J Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1990.tb03050.x","article-title":"Visceral pain during caesarean section under spinal and epidural anaesthesia with bupivacaine","volume":"34","author":"Alahuhta S","year":"1990","unstructured":"Alahuhta S, Kangas-Saarela T, Hollm\u00e9n AI, Edstr\u00f6m HH. Visceral pain during caesarean section under spinal and epidural anaesthesia with bupivacaine. Acta Anaesthesiol Scand. 1990, 34:95-8. 10.1111\/j.1399-6576.1990.tb03050.x","journal-title":"Acta Anaesthesiol Scand"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199806000-00008","article-title":"Intravenous remifentanil: placental transfer, maternal and neonatal effects","volume":"88","author":"Kan RE","year":"1998","unstructured":"Kan RE, Hughes SC, Rosen MA, Kessin C, Preston PG, Lobo EP. Intravenous remifentanil: placental transfer, maternal and neonatal effects. Anesthesiology. 1998, 88:1467-74. 10.1097\/00000542-199806000-00008","journal-title":"Anesthesiology"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2017.03.026","article-title":"Remifentanil as an alternative to epidural analgesia for vaginal delivery: a meta-analysis of randomized trials","volume":"39","author":"Lee M","year":"2017","unstructured":"Lee M, Zhu F, Moodie J, Zhang Z, Cheng D, Martin J. Remifentanil as an alternative to epidural analgesia for vaginal delivery: a meta-analysis of randomized trials. J Clin Anesth. 2017, 39:57-63. 10.1016\/j.jclinane.2017.03.026","journal-title":"J Clin Anesth"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0900-x","article-title":"Continuous intravenous infusion of remifentanil improves the experience of parturient undergoing repeated cesarean section under epidural anesthesia, a prospective, randomized study","volume":"19","author":"Yan W","year":"2019","unstructured":"Yan W, Xiong Y, Yao Y, Zhang FJ, Yu LN, Yan M. Continuous intravenous infusion of remifentanil improves the experience of parturient undergoing repeated cesarean section under epidural anesthesia, a prospective, randomized study. BMC Anesthesiol. 2019, 19:243. 10.1186\/s12871-019-0900-x","journal-title":"BMC Anesthesiol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3390\/medicina61091550","article-title":"Current perspectives on remifentanil-PCA for labor analgesia: a narrative review","volume":"61","author":"Vovk Racman P","year":"2025","unstructured":"Vovk Racman P, Lu\u010dovnik M, Stopar Pintari\u010d T. Current perspectives on remifentanil-PCA for labor analgesia: a narrative review. Medicina (Kaunas). 2025, 61:1550. 10.3390\/medicina61091550","journal-title":"Medicina (Kaunas)"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/474860-anesthetic-management-using-epidural-anesthesia-and-continuous-intravenous-remifentanil-in-a-cesarean-section-with-tethered-cord-syndrome-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T12:31:53Z","timestamp":1773750713000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/474860-anesthetic-management-using-epidural-anesthesia-and-continuous-intravenous-remifentanil-in-a-cesarean-section-with-tethered-cord-syndrome-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":15,"URL":"https:\/\/doi.org\/10.7759\/cureus.105370","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,17]]}}}