Dural ectasia: A likely cause of inadequate spinal anaesthesia in two parturients with Marfan's syndrome

British Journal of Anaesthesia

Volumn 94, Issue 4, 2005, Pages 500-504

  Lacassie, H J ^a,b   Millar, S ^c   Leithe, L G ^b   Muir, H A ^b   Montana R ^a   Poblete, A ^a   Habib, A S ^b  

^a PONTIFICIA UNIVERSIDAD CATÓLICA DE CHILE   (Chile)

^b DUKE UNIVERSITY MEDICAL CENTER   (United States)

^c GLASGOW ROYAL INFIRMARY   (United Kingdom)

Author keywords

Anaesthesia, obstetric; Anaesthetic techniques, subarachnoid; Complications, dural ectasia; Complications, Marfan's syndrome; Surgery caesarean section

Indexed keywords

ATENOLOL; BUPIVACAINE; DIGOXIN; FENTANYL; ISOFLURANE; KETOROLAC; MORPHINE; NITROUS OXIDE; OXYGEN; PROPOFOL; REMIFENTANIL; SEVOFLURANE; SUXAMETHONIUM;

ADULT; ANESTHESIA INDUCTION; AORTA DISSECTING ANEURYSM; AORTA VALVE REPLACEMENT; ARACHNODACTYLY; ARTICLE; CASE REPORT; CESAREAN SECTION; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; GENERAL ANESTHESIA; HUMAN; KYPHOSCOLIOSIS; MARFAN SYNDROME; MITRAL VALVE REGURGITATION; MITRAL VALVE REPLACEMENT; OBSTETRIC ANESTHESIA; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SPINAL ANESTHESIA; SPINAL CORD DISEASE; THORAX PAIN;

EID: 17044394379     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/aei076     Document Type: Article

References (29)

1. De Paepe A, Devereux RB, Dietz HC, Hennekam RC, Pyeritz RE. Revised diagnostic criteria for the Marfan syndrome. Am J Med Genet 1996; 62: 417-26
2. Bedard JM, Richardson MG, Wissler RN. General anesthesia with remifentanil for Cesarean section in a parturient with an acoustic neuroma. Can J Anaesth 1999; 46: 576-80
3. Mertens E, Saldien V, Coppejans H, Bettens K, Vercauteren M. Target controlled infusion of remifentanil and propofol for cesarean section in a patient with multivalvular disease and severe pulmonary hypertension. Acta Anaesthesiol Belg 2001; 52: 207-9
4. Beighton P, de Paepe A, Danks D, et al. International nosology of heritable disorders of connective tissue, Berlin, 1986. Am J Med Genet 1988; 29: 581-94
5. McKusick VA. Marfan syndrome; MFS. Online Mendelian Inheritance in Man, OMIM. MIM No. 154700. Baltimore (MD): Johns Hopkins University, 2003
6. Pyeritz RE, Fishman EK, Bernhardt BA, Siegelman SS. Dural ectasia is a common feature of the Marfan syndrome. Am J Hum Genet 1988; 43: 726-32
7. Fattori R, Nienaber CA, Descovich B, et al. Importance of dural ectasia in phenotypic assessment of Marfan's syndrome. Lancet 1999; 354: 910-3
8. Beighton P, Sujansky E, Patzak B, Portele KA. Genetic skeletal dysplasias in the Museum of Pathological Anatomy, Vienna. Am J Med Genet 1993; 47: 843-7
9. Ahn NU, Sponseller PD, Ahn UM, Nallamshetty L, Kuszyk BS, Zinreich SJ. Dural ectasia is associated with back pain in Marfan syndrome. Spine 2000; 25: 1562-8
10. Handa F, Ohnishi Y, Takauchi Y, Kuro M. [Anaesthetic management of parturients with Marfan syndrome]. Masui 2001; 50 399-404
11. Brar HB. Anaesthetic management of a caesarean section in a patient with Marfan's syndrome and aortic dissection. Anaesth Intensive Care 2001; 29: 67-70
12. Ben Letaifa D, Slama A, Methamem M, Ben Jazia K, Jegham H. [Anesthesia for Caesarean section in a Marfan patient with complicated aortic dissection]. Ann Fr Anesth Reanim 2002; 21: 672-5
13. Kardash K, King BW, Datta S. Spinal anaesthesia for caesarean section after Harrington instrumentation. Can J Anaesth 1993; 40 667-9
14. Pascoe HF, Jennings GS, Marx GF. Successful spinal anesthesia after inadequate epidural block in a parturient with prior surgical correction of scoliosis. Reg Anesth 1993; 18: 191-2
15. Carpenter RL, Hogan QH, Liu SS, Crane B, Moore J. Lumbosacral cerebrospinal fluid volume is the primary determinant of sensory block extent and duration during spinal anesthesia. Anesthesiology 1998; 89: 24-9
16. Higuchi H, Hirata J, Adachi Y, Kazama T. Influence of lumbosacral cerebrospinal fluid density, velocity, and volume on extent and duration of plain bupivacaine spinal anesthesia. Anesthesiology 2004; 100: 106-14
17. Goodarzi M. The advantages of intrathecal opioids for spinal fusion in children. Paediatr Anaesth 1998; 8: 131-4
18. Shaw BA, Watson TC, Merzel DI, Gerardi JA, Birek A. The safety of continuous epidural infusion for postoperative analgesia in pediatric spine surgery. J Pediatr Orthop 1996; 16: 374-7
19. Silva TS, Popat MT. Combined spinal-epidural anesthesia in parturient with Harrington rods. Reg Anesth 1994; 19: 360
20. Standl T, Beck H. Influence of the subarachnoid position of microcatheters on onset of analgesia and dose of plain bupivacaine 0.5% in continuous spinal anesthesia. Reg Anesth 1994; 19: 231-6
21. Kestin IG, Madden AP, Mulvein JT, Goodman NW. Comparison of incremental spinal anesthesia using a 32-gauge catheter with extradural anaesthesia for elective Caesarean section. Br J Anaesth 1991; 66: 232-6
22. Richardson MG, Wissler RN. Densities of dextrose-free intrathecal local anesthetics, opioids, and combinations measured at 37 degrees C. Anesth Analg 1997; 84: 95-9
23. Richardson MG, Thakur R, Abramowicz JS Wissler RN. Maternal posture influences the extent of sensory block produced by intrathecal dextrose-free bupivacaine with fentanyl for labor analgesia. Anesth Analg 1996; 83: 1229-33
24. Russell IF. Spinal anesthesia for cesarean delivery with dilute solutions of plain bupivacaine: the relationship between infused volume and spread. Reg Anesth 1991; 16: 130-6
25. Russell IF. Effect of posture during the induction of subarachnoid analgesia for caesarean section. Right v. left lateral. Br J Anaesth 1987; 59: 342-6
26. Morley-Forster PK, Angle PJ, Littleford J, Halpern SH, Currin M. Post-dural puncture headache in a parturient - a comparison of the Special Sprotte vs Tuohy needle. Anesthesiology 2001; 95: A1053
27. Pollock JE, Neal JM, Stephenson CA, Wiley CE. Prospective study of the incidence of transient radicular irritation in patients undergoing spinal anesthesia. Anesthesiology 1996; 84: 1361-7
28. Tarkkila P, Huhtala J, Tuominen M, Lindgren L. Transient radicular irritation after bupivacaine spinal anesthesia. Reg Anesth 1996; 21: 26-9
29. Corbey MP, Bach AB. Transient radicular irritation (TRI) after spinal anaesthesia in day-care surgery. Acta Anaesthesiol Scand 1998; 42: 425-9