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Epidural Anesthesia in a Patient With Turner Syndrome: A Case Report

John Quentin Deckbar1, Luis Garcia1, Leighan Bye1

  • 1Department of Anesthesia, Indiana University School of Medicine, Indianapolis, USA.

Cureus
|December 8, 2025
PubMed
Summary

Turner syndrome (TS) patients require specialized obstetric anesthesia. Ultrasound-guided epidural analgesia in a mosaic TS patient demonstrated effective pain relief with reduced anesthetic dosing, ensuring a safe vaginal delivery.

Keywords:
difficult epidurallabor epidural analgesianeuraxial anesthsianeuraxial ultrasoundturner’s syndrome

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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