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BJA Advance Access originally published online on February 4, 2005
British Journal of Anaesthesia 2005 94(4):500-504; doi:10.1093/bja/aei076
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions{at}oupjournals.org

CASE REPORT

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

H. J. Lacassie1,3, S. Millar5, L. G. Leithe4, H. A. Muir3, R. Montaña1, A. Poblete2 and A. S. Habib3,*

1 Department of Anaesthesiology and 2 Department of Obstetrics and Gynaecology, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago 833-0024, Chile. 3 Department of Anaesthesiology and 4 Department of Neuroradiology, Duke University Medical Center, Durham, North Carolina 27710, USA. 5 Department of Anaesthesia, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK

* Corresponding author. E-mail: habib001{at}mc.duke.edu

We report two cases of Caesarean section in patients with Marfan's syndrome where continuous subarachnoid anaesthesia failed to provide an adequate surgical block. This was possibly because of dural ectasia, which was confirmed by a computed tomography scan in both cases.


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