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Ultrasound-Assisted Combined Spinal-Epidural Anesthesia for Cesarean Delivery in a Parturient With Currarino Triad: A Case Report

Kenevan, Melissa R. MD; Smith, Hugh M. MD, PhD; Olsen, David A. MD; Sharpe, Emily E. MD

doi: 10.1213/XAA.0000000000000941
Case Reports
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Currarino triad is a rare hereditary condition characterized by anorectal malformation, sacral dysgenesis, and a presacral mass. Neuraxial anesthetic techniques pose increased risks to patients with spinal malformations. Ultrasound imaging improves accuracy of intervertebral level identification compared to clinical estimation. We present the case of a parturient with Currarino triad and a low conus medullaris undergoing cesarean delivery where preprocedural magnetic resonance imaging and ultrasound imaging allowed for successful combined spinal-epidural anesthesia to be performed. Despite these measures, however, the patient did develop a high spinal and temporary postoperative dizziness.

From the Department of Anesthesiology and Perioperative Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota.

Accepted for publication November 1, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Emily E. Sharpe, MD, Department of Anesthesiology and Perioperative Medicine, College of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905. Address e-mail to sharpe.emily@mayo.edu.

Copyright © 2018 International Anesthesia Research Society
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