title: Dural ectasia in Marfan's syndrome: magnetic resonance imaging appearances and anaesthetic experience of three deliveries.
abstract: Neuraxial anaesthetic techniques are considered useful to minimise haemodynamic stress during labour. In Marfan's syndrome, connective tissue abnormalities not only affect the thoracic aorta but also predispose to dural ectasia. A dural ectatic sac may cause difficulties with neuraxial analgesia and anaesthesia. We discuss magnetic resonance imaging appearances and anaesthetic experience of three deliveries in a parturient with stable echocardiographic findings. We consider that epidural analgesia and anaesthesia are a safe and pragmatic solution for labour and delivery. Lumbo-sacral magnetic resonance imaging at presentation will define dural ectasia and assist in management.
authors: Department of Anaesthetics, Ipswich Hospital NHS Trust, Heath Road, Ipswich, UK.
authors: G
authors: G
authors: McNeilly
authors: A
authors: A
authors: Nicholl
authors: J
authors: J
authors: Broadway
authors: S
authors: S
authors: Rao
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008382:Marfan Syndrome / Q000473:pathology* / Q000503:physiopathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000503:physiopathology
keywords: Anaesthesia; Dural ectasia; Marfan’s syndrome; Neuraxial