“…[ 1 ] However, I want to highlight the following considerations: First , the risk of malignant hyperthermia (MH) in association with Schwartz-Jamel syndrome (SJS) is not supported by scientific evidence. [ 2 ] It is concluded that SJS patients have a risk of developing MH that is equivalent to that of the general population,[ 3 ] and Godai stated that SJS is not related to MH. [ 4 ] Second , spinal anesthesia may be an effective, safe and preferred anesthetic technique in patients with SJS and should be preceded by a neurological examination, radiological, and haematological investigation with special attention to the coagulation profile.…”