Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report
Hereditary spastic paraplegia (HSP) is a rare, inherited condition affecting the corticospinal tract, typically characterized by bilateral lower extremity weakness and stiffness. HSP presents challenges to anesthetic management, particularly in the obstetric population due to the paucity of existing...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Obstetric Anaesthesia and Critical Care |
| Subjects: | |
| Online Access: | http://www.joacc.com/article.asp?issn=2249-4472;year=2022;volume=12;issue=1;spage=62;epage=63;aulast=Falescky |
| _version_ | 1811240729848053760 |
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| author | Joshua Falescky Madina Gerasimov Judith Aronsohn Gregory Palleschi |
| author_facet | Joshua Falescky Madina Gerasimov Judith Aronsohn Gregory Palleschi |
| author_sort | Joshua Falescky |
| collection | DOAJ |
| description | Hereditary spastic paraplegia (HSP) is a rare, inherited condition affecting the corticospinal tract, typically characterized by bilateral lower extremity weakness and stiffness. HSP presents challenges to anesthetic management, particularly in the obstetric population due to the paucity of existing recommendations in the literature. Although case reports exist regarding the successful use of general and neuraxial anesthesia for cesarean section, none currently exist with regard to labor analgesia. Here, we report the use of labor epidural anesthesia in a 29-year-old woman with HSP. She delivered via cesarean delivery after laboring for 27 h with an epidural catheter in place. The patient tolerated epidural placement well with no adverse neurologic sequelae. The utilization of neuraxial techniques avoids the risks associated with airway manipulation in a parturient and obviates the need for the use of muscle relaxants in the setting of upper motor neuron disease. Epidural anesthesia appears to be a safe approach to the management of labor and cesarean delivery in a parturient with HSP. |
| first_indexed | 2024-04-12T13:25:24Z |
| format | Article |
| id | doaj.art-a09720cb9f16447f85b06b148cb76e67 |
| institution | Directory Open Access Journal |
| issn | 2249-4472 |
| language | English |
| last_indexed | 2024-04-12T13:25:24Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Obstetric Anaesthesia and Critical Care |
| spelling | doaj.art-a09720cb9f16447f85b06b148cb76e672022-12-22T03:31:22ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722022-01-01121626310.4103/JOACC.JOACC_79_21Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case reportJoshua FalesckyMadina GerasimovJudith AronsohnGregory PalleschiHereditary spastic paraplegia (HSP) is a rare, inherited condition affecting the corticospinal tract, typically characterized by bilateral lower extremity weakness and stiffness. HSP presents challenges to anesthetic management, particularly in the obstetric population due to the paucity of existing recommendations in the literature. Although case reports exist regarding the successful use of general and neuraxial anesthesia for cesarean section, none currently exist with regard to labor analgesia. Here, we report the use of labor epidural anesthesia in a 29-year-old woman with HSP. She delivered via cesarean delivery after laboring for 27 h with an epidural catheter in place. The patient tolerated epidural placement well with no adverse neurologic sequelae. The utilization of neuraxial techniques avoids the risks associated with airway manipulation in a parturient and obviates the need for the use of muscle relaxants in the setting of upper motor neuron disease. Epidural anesthesia appears to be a safe approach to the management of labor and cesarean delivery in a parturient with HSP.http://www.joacc.com/article.asp?issn=2249-4472;year=2022;volume=12;issue=1;spage=62;epage=63;aulast=Falesckyepiduralhereditary spastic paraplegialabor analgesia |
| spellingShingle | Joshua Falescky Madina Gerasimov Judith Aronsohn Gregory Palleschi Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report Journal of Obstetric Anaesthesia and Critical Care epidural hereditary spastic paraplegia labor analgesia |
| title | Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report |
| title_full | Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report |
| title_fullStr | Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report |
| title_full_unstemmed | Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report |
| title_short | Neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia: A case report |
| title_sort | neuraxial anesthesia for a laboring patient with hereditary spastic paraplegia a case report |
| topic | epidural hereditary spastic paraplegia labor analgesia |
| url | http://www.joacc.com/article.asp?issn=2249-4472;year=2022;volume=12;issue=1;spage=62;epage=63;aulast=Falescky |
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