title: Anesthetic management of a parturient with spinal muscular atrophy type II.
abstract: In the past, pregnancy was contraindicated in patients with spinal muscular atrophy. Recently, more cases are occurring because of improvement in survival and functional status. The goals for anesthetic management of these patients include satisfactory anesthesia during surgery and excellent postoperative analgesia with minimal compromise of respiratory function. Spinal anesthesia may be considered contraindicated due to spinal deformities, but successful spinal anesthesia was performed in a 37 year old parturient following magnetic resonance imaging of the spine.
authors.affiliation: High-Risk Pregnancy Center, Department of Gynaecology and Obstetrics, University Federico II, 80100 Naples, Italy.
authors.forename: Giuseppe Maria
authors.initials: GM
authors.lastname: Maruotti
authors.forename: Rita
authors.initials: R
authors.lastname: Anfora
authors.forename: Emilio
authors.initials: E
authors.lastname: Scanni
authors.forename: Marco
authors.initials: M
authors.lastname: Rispoli
authors.forename: Laura Letizia
authors.initials: LL
authors.lastname: Mazzarelli
authors.forename: Raffaele
authors.initials: R
authors.lastname: Napolitano
authors.forename: Maddalena
authors.initials: M
authors.lastname: Morlando
authors.forename: Laura
authors.initials: L
authors.lastname: Sarno
authors.forename: Giovanna Mallia
authors.initials: GM
authors.lastname: Milanes
authors.forename: Stefania
authors.initials: S
authors.lastname: Simioli
authors.forename: Annalisa
authors.initials: A
authors.lastname: Migliucci
authors.forename: Pasquale
authors.initials: P
authors.lastname: Martinelli
authors.forename: Pasquale
authors.initials: P
authors.lastname: Mastronardi
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D014897:Spinal Muscular Atrophies of Childhood / Q000503:physiopathology*; D016896:Treatment Outcome