[Peridural anaesthesia with ropivacaine for a patient with Friedrich's ataxia. Caesarean section after dorsal stabilisation of the spinal column (Th5-L1)]

Anaesthesist. 2009 Jul;58(7):691-4. doi: 10.1007/s00101-009-1579-z.
[Article in German]

Abstract

Friedreich's ataxia (FA) is a hereditary disease, which leads to degenerative changes in the spinal cord and cerebellum (incidence 1:50,000). These changes are caused by a defect in the gene that encodes a mitochondrial gene called frataxin and causes muscle weakness, scoliosis, cardiomyopathy and impaired glucose tolerance. Therefore, these patients require special care during anaesthesia. We report the case of a 25-year-old primigravida with a history of FA and dorsal stabilisation of the vertebral column, who was admitted to our hospital for elective caesarean section. Due to increased sensitivity to muscle relaxants, peridural anaesthesia with 8 ml 0.75% ropivacaine and 10 microg sufentanil was used in this case. The perioperative neurological consultation revealed no undue exacerbation of symptoms.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amides*
  • Anesthesia, Epidural*
  • Anesthesia, Obstetrical*
  • Anesthetics, Intravenous
  • Anesthetics, Local*
  • Bone Plates
  • Cesarean Section*
  • Female
  • Friedreich Ataxia / complications
  • Friedreich Ataxia / physiopathology*
  • Humans
  • Postoperative Care
  • Pregnancy
  • Ropivacaine
  • Spine / surgery
  • Sufentanil

Substances

  • Amides
  • Anesthetics, Intravenous
  • Anesthetics, Local
  • Ropivacaine
  • Sufentanil