Title: Anaesthetic management of an achondroplastic parturient for emergency LSCS

Authors: Dr Neha Aeron, Dr Priyanka Tetarwal, Dr Kanta Bhati, Dr Pramila Soni

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.48

Abstract

Achondroplasia, an autosomal dominant disorder, is one of the common causes of disproportionate dwarfism, with a worldwide prevalence of about 1:25,000-30,000. It is characterized by skeletal deformities, commonly affecting spine, secondary to genetic mutation in bone ossification. We present a case report of an achondroplastic primigravida with short stature, short neck, kyphoscoliosis and hypotonia of bilateral lower limb presenting for emergency LSCS. Anesthetic management of such cases can prove changing more so in emergency LSCS, owing to the physiological changes of pregnancy itself, which has been discussed in this case report.

Keywords: Achondroplasia, Spinal anaesthesia, Caeserean.

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Corresponding Author

Dr Priyanka Tetarwal

Junior Resident, Department of Anesthesiology, .P. Medical College and PBM hospital, Bikaner, India