Anesthetic management of spinal muscle atrophy type II in a parturient

Laurent Bollag, Christopher Kent, Philippe Richebé, Ruth LandauDepartment of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USAAbstract: 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: muscular atrophy, cesarean section, general and regional anesthesia