Anesthetic considerations in a parturient with Freeman–Sheldon syndrome

Fisher, Katherine; Qasem, F.; Armstrong, Paidrig; McConachie, Ian

doi:10.1016/j.ijoa.2016.02.001

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…There are limited reports in the literature on adult FSS patients, with only one obstetric case report published in 2016. In this case report, the authors used a combined spinal-epidural technique for an elective cesarean delivery in a parturient with FSS [ 10 ]. Our case is unique because our patient had extensive Harrington rods, an acute pulmonary embolus with recent anticoagulation, and severe pre-eclampsia that required an emergency cesarean delivery at less than 28 weeks of gestation.…”

Section: Introductionmentioning

confidence: 99%

Emergent Cesarean Delivery in a Patient With Freeman-Sheldon Syndrome Complicated by Preeclampsia, Acute Pulmonary Embolism, and Pulmonary Edema: A Case Report

Fayed¹,

Giska²,

Shievitz³

et al. 2021

Cureus

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Freeman-Sheldon syndrome (FSS) is an exceedingly rare congenital disorder with an unspecified prevalence. FSS is caused by a mutation in the embryonic skeletal muscle myosin heavy chain 3 gene. Patients may have facial abnormalities that put them at risk of difficult airway intubation. These facial abnormalities include micrognathia, macroglossia, high-arched palate, prominent forehead, and mid-face hypoplasia. Additionally, skeletal abnormalities such as joint contractures, scoliosis with resultant restrictive lung disease, and camptodactyly (bent fingers) can be noted. These features played an important role in the anesthetic management of our FSS patient. Perioperative planning and optimization were crucial in her anesthetic management as she underwent an urgent cesarean section due to preeclampsia with severe features.

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Section: Introductionmentioning

confidence: 99%