AI Article Synopsis

  • - Familial amyloid polyneuropathy type I is a rare disease that leads to nerve damage and affects a person's ability to feel and control their body, starting early in life and worsening over time.
  • - A pregnant woman with this condition experienced worsened gastrointestinal, heart, and nerve symptoms during her pregnancy, prompting a caesarean delivery with epidural anesthesia.
  • - Managing anesthesia for a caesarean section in patients with this type of neuropathy is complex due to the disease’s effects on multiple body systems, making it crucial to share details on how it was handled in this case.

Article Abstract

Familial amyloid polyneuropathy type I is a rare neurodegenerative disease characterised by early-onset and progressive peripheral sensorimotor and autonomic polyneuropathy. A pregnant woman with familial amyloid polyneuropathy type I presented with mild gastrointestinal, cardiac involvement and peripheral neuropathy, aggravated during the pregnancy. The caesarean delivery was performed under uneventful epidural anaesthesia. Anaesthesia of a pregnant woman with this condition can be challenging due to its multisystemic involvement and the possibility of further neurologic injury. This is one of the few cases of anaesthesia for caesarean section described in familial amyloid polyneuropathy type I patients. Given the possibility of similar cases, it is essential to disclose the anaesthetic management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616461PMC
http://dx.doi.org/10.7759/cureus.75033DOI Listing

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