Anesthetic management of two parturients with cerebral palsy and prior selective dorsal rhizotomy

CM Aiudi, EE Sharpe, KW Arendt, JJ Pasternak… - International Journal of …, 2018 - Elsevier
Selective dorsal rhizotomy is a surgical spine procedure used to reduce spasticity in patients
with upper motor neuron dysfunction caused by conditions such as cerebral palsy. The
optimal anesthetic approach for obstetric patients who have undergone a selective dorsal
rhizotomy is unknown. The use and efficacy of neuraxial anesthesia in these patients has
not been described. We describe the use of neuraxial anesthesia in two patients with prior
selective dorsal rhizotomy. Unless contraindicated for other reasons, a neuraxial anesthetic …
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