Peripartum Diagnosis of Currarino Syndrome With Anterior Sacral Meningocele: A Case Report
| Autor: | Helen Pappas, Emery H. McCrory, Kaitlyn E. Neumann |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Sacrum
medicine.medical_specialty Pregnancy business.industry Rectum Anal Canal General Medicine musculoskeletal system medicine.disease Multidisciplinary team Meningocele Syringomyelia Surgery Anorectal stenosis Anterior sacral meningocele Agenesis Peripartum Period medicine Humans business Digestive System Abnormalities Currarino syndrome |
| Zdroj: | A&A Practice. 15:e01506 |
| ISSN: | 2575-3126 |
| DOI: | 10.1213/xaa.0000000000001506 |
| Popis: | Neurologic 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. |
| Databáze: | OpenAIRE |
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