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Canadian Journal of Anesthesia, Vol 43, 1150-1152, Copyright © 1996 by Canadian Anesthesiologists' Society

ARTICLES

Epidural analgesia for labour in a patient with Charcot-Marie-Tooth disease

T Scull and S Weeks
Department of Anaesthesia, Royal Victoria Hospital, Montreal, Quebec, Canada.

PURPOSE: We report a case of a parturient with peroneal muscular atrophy-Charcot-Marie-Tooth disease type 1 (CMT)-who received epidural analgesia 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.


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Copyright © 1996 by the Canadian Anesthesiologists' Society.