Caesarean section in a patient with torsion dystonia.

Journal Article

We present a case of torsion dystonia in a 35-yr-old primigravida who presented for a Caesarean section under general anaesthesia. She had limb contractures and severe kyphoscoliosis associated with limited respiratory reserve and function. General anaesthesia was induced using thiopental and divided doses of mivacurium for rapid sequence induction. After the delivery of a healthy male baby, she received i.v. morphine and bilateral iliohypogastric, ilioinguinal blocks and had an uneventful recovery. Technical issues of supine positioning, intubation and respiratory support need to be considered during anaesthesia planning. Although regional anaesthesia is commonly offered for caesarean section, maternal compromise and technical factors may preclude this approach.

Full Text

Duke Authors

Cited Authors

  • Olufolabi, AJ; Wee, MYK

Published Date

  • May 2006

Published In

Volume / Issue

  • 96 / 5

Start / End Page

  • 611 - 613

PubMed ID

  • 16531441

International Standard Serial Number (ISSN)

  • 0007-0912

Digital Object Identifier (DOI)

  • 10.1093/bja/ael056

Language

  • eng

Conference Location

  • England