Anesthetic Management of a Pregnant Woman with Limb-girdle Muscular Dystrophy in the Caesarean Section: A Case Study
Javad Sharbaf Javan *
Anesthesiology and Intensive Care, Shariati Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Kamran Ameli
Anesthesiology and Intensive Care, Shariati Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Mona Moshref
Department of Pediatrics, Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Shirvan, Iran.
Mitra Saberi
Department of Anesthesiology, Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Shirvan, Iran.
Horiea Pakniat
Department of Anesthesiology, Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Shirvan, Iran.
*Author to whom correspondence should be addressed.
Abstract
In a study, we present the case of a 33-year-old obese patient with limb-girdle muscular dystrophy (LGMD) admitted for cesarean section. The patient was successfully managed by emergency caesarean section under spinal anesthesia. On physical examination after the operation, the force of the upper and lower extremity muscles were estimated to be 4/5 and 3/5, respectively. In this case, instead of epidural anesthesia we used spinal anesthesia, which is a safe technique recommended for emergency cesarean section in pregnant LGMD patients.
Keywords: Caesarean section, limb-girdle muscular dystrophy, Spinal anesthesia.