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Achondroplasia and emergency caesarean section: A case report

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Case Report

Author Details : Urmila Palaria*, Kamal Nayan Joshi, Yeeti Upreti

Volume : 8, Issue : 1, Year : 2021

Article Page : 129-132

https://doi.org/10.18231/j.ijca.2021.025

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Abstract

Background: Achondroplasia is the commonest variety of rhizomelic dwarfism, which results from abnormal cartilage formation at epiphyseal growth plates. The peculiar facial features, bony deformities and systemic abnormalities often pose a difficulty in administration of anesthesia, particularly in the parturients. There are very few reported cases of spinal anesthesia in achondroplastic parturients, because of its feared high risks.
Case Report: We reported, two cases of achondroplastic parturients with short stature, planned for emergency lower segment caesarean section (LSCS), in view of cephalo-pelvic disproportion under spinal anesthesia.
Conclusion: We discussed the anesthetic issues to achondroplastic parturients and finally did under spinal anesthesia. Besides, a myriad of problems encountered in these patients warrant a careful pre-anesthetic evaluation to warrant patients’ safety and affirmative procedure outcomes.

Keywords: Achondroplasia, Dwarfism, Spinal anesthesia, Caesarean section.

How to cite : Palaria U , Joshi K N, Upreti Y , Achondroplasia and emergency caesarean section: A case report. Indian J Clin Anaesth 2021;8(1):129-132

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