TITLE:
Subarachnoid and Peripheral Nerve Block in a Patient with Charcot-Marie-Tooth Disease
AUTHORS:
Stinson T. Ritter, Ryan J. Jense, Joanna M. Davies
KEYWORDS:
Charcot-Marie-Tooth Disease; CMT; Regional Anesthesia; Neuraxial Anesthesia
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.1,
January
31,
2013
ABSTRACT: Charcot-Marie-Tooth
disease (CMT) is a hereditary peripheral neuropathy characterized by
progressive distal muscle weakness and wasting. If conservative treatment
fails, or is not appropriately initiated, deformity, immobility and chronic
pain may result. In severe cases, surgical intervention may be required. With
the exception of case reports and case series, limited safety and efficacy data
exists regarding the use of neuraxial and regional anesthesia for patients with
CMT. This paper describes an anesthetic case report of a patient with CMT, and
also provides a review of general and regional anesthetic considerations for
this cohort. The purpose of this report is to highlight the potential benefits
of neuraxial and regional anesthesia in patients with neuromuscular disorders,
especially in settings where intra- and post-operative resources may be
limited.