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Background <p>There is a paucity of literature regarding obstetric anesthesia management in Jarcho-Levin Syndrome (JLS) patients and existing case reports are limited to pre-planned cesarean deliveries.</p> Case presentation <p>The patient is a 21-year-old woman with JLS, spondylocostal dysostosis (SCD) subtype, who went through a full-term vaginal delivery with labor neuraxial analgesia. This case report details a successful trial of labor and delivery, which was permitted after an extensive testing of her baseline functional status, as well as a review of the difficulties present in the provision of both neuraxial and general anesthesia. There was an emphasis on multidisciplinary collaboration and planning throughout the patient’s peripartum course.</p> Conclusion <p>A parturient with JLS was able to undergo full-term vaginal delivery using neuraxial analgesia and did not require general anesthesia or a cesarean section. Further research will enhance the management of obstetric anesthesia for patients with JLS.</p>

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Epidural analgesia for a successful vaginal delivery in a parturient with Jarcho-Levin syndrome: case report

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  • 发表日期：

    2025年4月5日

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  • Eunah Song,
  • Erik Romanelli

摘要

Background

There is a paucity of literature regarding obstetric anesthesia management in Jarcho-Levin Syndrome (JLS) patients and existing case reports are limited to pre-planned cesarean deliveries.

Case presentation

The patient is a 21-year-old woman with JLS, spondylocostal dysostosis (SCD) subtype, who went through a full-term vaginal delivery with labor neuraxial analgesia. This case report details a successful trial of labor and delivery, which was permitted after an extensive testing of her baseline functional status, as well as a review of the difficulties present in the provision of both neuraxial and general anesthesia. There was an emphasis on multidisciplinary collaboration and planning throughout the patient’s peripartum course.

Conclusion

A parturient with JLS was able to undergo full-term vaginal delivery using neuraxial analgesia and did not require general anesthesia or a cesarean section. Further research will enhance the management of obstetric anesthesia for patients with JLS.