Case Reports
doi: 10.2147/LRA.S17089.
Epub 2011 Apr 6.
Anesthetic management of spinal muscle atrophy type II in a parturient
Affiliations
- PMID: 22915887
- PMCID: PMC3417967
- DOI: 10.2147/LRA.S17089
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Case Reports
Anesthetic management of spinal muscle atrophy type II in a parturient
Local Reg Anesth.
2011.
Abstract
We report the peripartum management of a 30-year-old wheelchair-bound nullipara woman with spinal muscular atrophy (SMA) type II, including severe restrictive lung disease and Harrington rods. At 38 weeks gestation, she was admitted for an induction of labor with neuraxial analgesia, but she subsequently had to be delivered via cesarean section under general anesthesia. We describe the anesthetic implications of SMA on labor and delivery management and review the available literature.
Keywords: cesarean section; general and regional anesthesia; muscular atrophy.
Figures
Anteroposterior and lateral x-ray of pregnant patient with Harrington rods and scoliosis, requesting labor analgesia.
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