Anesthetic management of two parturients with cerebral palsy and prior selective dorsal rhizotomy

•The ideal anesthetic for obstetric patients with a dorsal rhizotomy is unknown.•Neuraxial anesthesia was successful in two patients with who had a prior dorsal rhizotomy.•In both cases neuraxial anesthesia occurred without complication. Selective dorsal rhizotomy is a surgical spine procedure used...

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Bibliographic Details
Published in:International journal of obstetric anesthesia 2018-05, Vol.34, p.105-108
Main Authors: Aiudi, C.M., Sharpe, E.E., Arendt, K.W., Pasternak, J.J., Sviggum, H.P.
Format: Article
Language:English
Subjects:
Anesthesia
Cerebral palsy
Combined spinal-epidural
Epidural
Neuraxial
Obstetric
Selective dorsal rhizotomy
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Summary:•The ideal anesthetic for obstetric patients with a dorsal rhizotomy is unknown.•Neuraxial anesthesia was successful in two patients with who had a prior dorsal rhizotomy.•In both cases neuraxial anesthesia occurred without complication. Selective dorsal rhizotomy is a surgical spine procedure used to reduce spasticity in patients with upper motor neuron dysfunction caused by conditions such as cerebral palsy. The optimal anesthetic approach for obstetric patients who have undergone a selective dorsal rhizotomy is unknown. The use and efficacy of neuraxial anesthesia in these patients has not been described. We describe the use of neuraxial anesthesia in two patients with prior selective dorsal rhizotomy. Unless contraindicated for other reasons, a neuraxial anesthetic approach appears to be an effective option in patients with a history of a selective dorsal rhizotomy.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2017.12.003