Dural ectasia: a likely cause of inadequate spinal anaesthesia in two parturients with Marfan's syndrome.
We report two cases of Caesarean section in patients with Marfan's syndrome where continuous subarachnoid anaesthesia failed to provide an adequate surgical block. This was possibly because of dural ectasia, which was confirmed by a computed tomography scan in both cases.
Lacassie
H J
HJ
Department of Anaesthesiology, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago 833-0024, Chile. habib001@mc.duke.edu
Millar
S
S
Leithe
L G
LG
Muir
H A
HA
Montaña
R
R
Poblete
A
A
Habib
A S
AS
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000493:pharmacokinetics; D002585:Cesarean Section; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000378:metabolism; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000000981:diagnostic imaging / Q000378:metabolism*; D011247:Pregnancy; D014057:Tomography, X-Ray Computed
D000779:Anesthetics, Local