Anaesthesia Management of a patient with Limb Girdle Muscular Dystrophy for Elective Caesarean Section

This case report describes the successful perioperative management of a 27 years primi gravida female with Limb girdle muscular dystrophy (LGMD) with peripheral neuropathy having PIH (pregnancy induced hypertension) posted for elective caesarean. Muscle biopsy was consistent with End Stage Muscle Disease. Electroneuromyography (ENMG) was suggestive of sensory motor neuropathy involving lower limbs and having primary muscle disease. She was euthyroid with normal cardiac functions. The surgery underwent uneventfully under Epidural Anaesthesia, and she was shifted to room after 24 hours observation in the Surgical ICU.