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Safe Use of Epidural Analgesia in a Parturient With Spinocerebellar Ataxia: A Case Report

Aditi Saraswat1, Sharadhadevi Gunasekaran, Nandak Choksi

  • 1From the Department of Anesthesiology, Pain Medicine and Perioperative Medicine, Henry Ford Hospital, Detroit, Michigan.

A&A Practice
|April 11, 2018
PubMed

A 28-year-old, gravida 7, para 4 woman with medical history of sickle cell trait presented to labor and delivery at 39 weeks of gestation for rupture of membranes. The patient had a history of suspected spinocerebellar ataxia with incomplete workup before the current admission. The patient requested epidural analgesia for labor. Epidural was placed at L3-L4 interspace without any complications and the rest of the labor was uneventful. Magnetic resonance imaging of the brain was performed after the delivery and the diagnosis of spinocerebellar ataxia was confirmed. The patient's neurological status remained stable after the procedure.

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