Hereditary neuropathy with liability to pressure palsies is an autosomal dominant condition occurring in up to 16 per 100,000 people and predisposes to neural compressive injury. Given the rarity of this condition, no guidelines currently exist for the anesthetic management of hereditary neuropathy with liability to pressure palsies. We describe the management of analgesia during labor in a woman diagnosed with hereditary neuropathy with liability to pressure palsies and a history of nerve palsy after obstetric anesthesia. Our report highlights the necessity of clinician awareness of hereditary neuropathy with liability to pressure palsies and the anesthetic precautions used to successfully avoid neural injury in this case.
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Eugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Fritz, Nora E.
Chen, Yongsheng
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Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Chen, Yongsheng
Waters, Lauren
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Eugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Waters, Lauren
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Saba, Sadaf
Hackett, Melody
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Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Hackett, Melody
Mada, Flicia C.
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Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Mada, Flicia C.
Li, Jun
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Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USA
Wayne State Univ, Sch Med, Ctr Mol Med & Genet, Detroit, MI USA
John D Dingell VA Med Ctr, Detroit, MI USAEugene Applebaum Coll Pharm & Hlth Sci, Phys Therapy Program, Detroit, MI USA
Li, Jun
ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY,
2020,
7
(08):
: 1400
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1409