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British Journal of Anaesthesia, 1992, Vol. 69, No. 5 517-519
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

ANAESTHESIA FOR CAESAREAN SECTION IN A PATIENT WITH EHLERS-DANLOS SYNDROME TYPE IV

D. BRIGHOUSE, B.M., F.R.C.ANAES. and B. GUARD, B.M., M.R.C.P.

ShackJeton Department of Anaesthetics, Southampton University Hospitals, Level E, Southampton General Hospital Tremona Road, Southampton SO9 4XY

We report the successful use of combined spinal and extradural anaesthesia for elective Caesarean section in a primigravid patient with Ehlers-Danlos type IV (EDS IV). EDS IV is a rare disorder with a high pregnancy-related mortality. Previous reports have not addressed the question of anaesthesia for delivery. It is not possible to be didactic about anaesthetic technique for such patients. The relative risks of general and regional anaesthesia must be discussed fully, and the risks weighed against the wishes of the woman and her partner. (Br. J. Anaesth. 1992;69:517–519)


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