Anesthesia and Pain Medicine  2012;7(2):181-184

Epidural anesthetic management of achondroplastic parturient dwarf undergoing cesarean section: A case report.

Se Hun LIM 1 ; Chee Mahn SHIN ; Young Jae KIM ; Kun Moo LEE ; Jeong Han LEE ; Kwang Rae CHO ; Myoung Hun KIM ; Shin Hae CHANG

Affiliations

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Keywords

Achondroplasia; Cesarean section; Dwarf; Epidural anesthesia

Country

Republic of Korea

Language

English

Abstract

Achondroplasia is the most common non-lethal skeletal dysplasia. Underdevelopment and premature ossification of bones result in characteristic craniofacial and spinal abnormalities. Achondroplastic dwarfs have low fertility rates and require delivery by cesarean section due to their cephalo-pelvic disproportion. Controversy exists regarding the ideal anesthesia for an achondroplastic parturient dwarf for urgent cesarean section. Anesthesia, whether general or regional, presents many potential problems during cesarean section. We report the experience of the epidural anesthesia in an achondroplastic dwarf undergoing elective cesarean section.