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Anaesth Intensive Care · Jun 1999
Case ReportsAntenatal and preoperative genetic and clinical assessment in myotonic dystrophy.
- R Boyle.
- Department of Anaesthetic Services, Royal Women's Hospital, Brisbane, Queensland.
- Anaesth Intensive Care. 1999 Jun 1;27(3):301-6.
AbstractThe antenatal investigation of an obstetric patient with a history of myotonia is described. The smooth and striated muscle dysfunction in myotonic dystrophy renders these patients, as a group, liable to surgical correction and exposure to anaesthesia. A caesarean section is reported to illustrate the preferred timing of diagnosis and peripartum management. While regional anaesthesia is preferred, myotonic dystrophy is not a contraindication to general anaesthesia, provided risks are anticipated and steps taken to minimize complications.
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