Anesthetic management of two parturients with cerebral palsy and prior selective dorsal rhizotomy

A selective dorsal rhizotomy (SDR) is a surgical procedure used to relieve spasticity associated with cerebral palsy (CP). During SDR, specific sensory rootlets contributing to spasticity are cut, leaving non-contributory sensory rootlets and all motor roots intact (Fig. 1). The peripartum anesthetic management of patients who have undergone a SDR is not well elucidated, and the efficacy of neuraxial anesthesia in these patients has not been described. This case series describes two obstetric patients who underwent SDR in childhood; and subsequently received neuraxial anesthesia for delivery.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Case report Source Type: research