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2021, Number 2

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Rev Mex Anest 2021; 44 (2)

Obstetric analgesia in the patient with Stickler syndrome: a case report and review of the literature

Sánchez-Vásquez U, García-Bravo M, Zumaya-Mancilla G, Popoca-Mondragón X, Chávez-Ramírez MA

Language: Spanish
References: 22
Page: 139-142
PDF size: 249.50 Kb.


ABSTRACT

Stickler syndrome has an incidence of 1/7.500-9.000 in newborns. It is a connective tissue disease with an autosomal dominant inheritance pattern in most cases, but also with a recessive pattern, due to the pathogenic involvement of procollagen genes such as COL2A1, COL11A1, among others. It is characterized by craniofacial, ocular, auditory and skeletal/joint multisystemic signs and symptoms, and has been associated with prolapse of the mitral valve. Three types are differentiated: type I (the most frequent, 75%) or complete Stickler syndrome, type II or ocular Stickler syndrome and type III or oto-espondilo-megaepiphyseal dysplasia. The diagnosis is made by confirming the signs and symptoms or by verifying the presence of a pathogenic genetic variant. With respect to the anesthetic management in the obstetric patient, it is recommended to avoid general anesthesia. The article illustrates the case of a female patient of 26 years with Stickler syndrome type I and full-term pregnancy, and associated implications for neuroaxial anesthesia. Despite its incidence, there is no medical literature on the management of neuraxial anesthesia in this type of patients.


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