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Case Reports
Peripartum Diagnosis of Currarino Syndrome With Anterior Sacral Meningocele: A Case Report.
- Kaitlyn E Neumann, Helen Pappas, and Emery H McCrory.
- From the Department of Anesthesiology, Northwestern University-Feinberg School of Medicine, Chicago, Illinois.
- A A Pract. 2021 Aug 4; 15 (8): e01506.
AbstractNeurologic conditions without prenatal optimization can pose anesthetic and obstetrical challenges. We present a case of Currarino syndrome; an autosomal dominant triad of agenesis of the sacrum, anterior sacral meningocele (ASM) with sacral teratomas, and anorectal stenosis; diagnosed during pregnancy; and the subsequent anesthetic considerations. The location, size, and risk of rupture of the ASM can create obstacles to delivery. Eligibility for neuraxial anesthesia should be made on a case-by-case basis with risk-benefit analysis, and deficits should be documented allowing prompt identification and intervention should complications arise. Multidisciplinary team coordination is vital to help facilitate maternal safety.Copyright © 2021 International Anesthesia Research Society.
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