Abstract
Purpose
We report a case of a parturient with peroneal muscular atrophy — Charcot-Marie-Tooth disease type 1 (CMT) — who received epidural anatgesia for labour. The effects of pregnancy and labour on the course of CMT are reviewed, together with the current literature on the provision of epidural and general anaesthesia in this disease.
Clinical features
A 26-yr-old primipara with CMT was provided with epidural analgesia for labour. She experienced good pain control and suffered no untoward neurological sequelae.
Conclusion
Epidural analgesia, after thorough discussion with the patient, may be offered to parturients with CMT.
Résumé
Objectif
Faire le compte rendu de l’analgésie épidurale administrée pour le travail à une parturiente porteuse d’atrophie musculaire péronéale de Marie-Charcot-Tooth type 1 (MCT). Les effets de la grossesse et du travail sur l’évolution du syndrome de MCT sont passés en revue ainsi que la littérature actuelle sur la pratique de l’anesthésie épidurale et générale pendant cette maladie.
Éléments cliniques
Une primipare de 26 ans porteuse de MCT a reçu une analgésie épidurale pour son travail. Le contrôle de la douleur a été efficace et aucune séquelle neurologique n ’est survenue.
Conclusion
Après les explications d’usage, on peut offrir une épidurale à une porteuse de MCT.
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Scull, T., Weeks, S. Epidural analgesia for labour in a patient with Charcot-Marie-Tooth disease. Can J Anaesth 43, 1150–1152 (1996). https://doi.org/10.1007/BF03011843
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DOI: https://doi.org/10.1007/BF03011843