Epidural analgesia for labour in a patient with Charcot-Marie-Tooth disease.

PURPOSE

We report a case of a parturient with peroneal muscular atrophy-Charcot-Marie-Tooth disease type 1 (CMT)-who received epidural analgesia for labour. The effects of pregnancy and labour on the course of CMT are reviewed, together with the current literature on the provision of epidural and general anaesthesia in this disease.

CLINICAL FEATURES

A 26-yr-old primipara with CMT was provided with epidural analgesia for labour. She experienced good pain control and suffered no untoward neurological sequelae.

CONCLUSION

Epidural analgesia, after thorough discussion with the patient, may be offered to parturients with CMT.