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Updated: Jul 5, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Caesarean section in a complicated case of central core disease
1Royal Albert Edward Infirmary, Wigan, Lancs, UK.
Abstract:
We describe the anaesthetic management of a 21-year-old lady with central core disease for elective Caesarean section. Central core disease is characterised by muscle weakness, skeletal deformities and susceptibility to malignant hyperthermia. Total intravenous anaesthesia was used because of the combination of potential malignant hyperthermia, severe kyphoscoliosis and extensive spinal scarring. The authors believe there is no previous report of propofol and remifentanil being used in these circumstances. A short review of central core disease and its anaesthetic implications is provided.
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