Successful Low-Dose Spinal Anaesthesia for Caesarean Section in a Parturient With Myasthenia Gravis: A Case Report

Spinal Anaesthesia in Myasthenia Gravis

  • Aaqib Suhail Mir Sher i Kashmir institute of medical sciences Soura Srinagar
  • Mohd rafiq Mir Anaesthesiology skims Soura
  • Waqrul Neesa Professor and head anaesthesiology skims soura
  • Tabasum Shebnum Anaesthesiology skims soura
DOI: https://doi.org/10.33883/jms.v30i2,3.1503
Keywords: Myasthenia gravis, Spinal anaesthesia, Caesarean section, Pregnancy, Neuromuscular disorder

Abstract

Myasthenia gravis (MG) is an autoimmune neuromuscular disorder characterised by fluctuating skeletal muscle weakness and presents significant challenges during pregnancy and anaesthesia. Both general and regional techniques carry potential risks, including postoperative respiratory failure, prolonged neuromuscular blockade, and myasthenic crisis. We report the successful use of low-dose spinal anaesthesia with intrathecal opioid supplementation for elective caesarean delivery in a parturient with well-controlled MG. Careful dose titration, continuation of anticholinesterase therapy, and multidisciplinary planning enabled safe perioperative management without respiratory compromise. This case supports the use of modified neuraxial techniques in selected patients with stable disease.

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References

1. Jordan A, Freimer M. Recent advances in understanding and managing myasthenia gravis. Version 1. F1000Res. Version 1. F1000Res. 2018;7
2. Tanacan A, Fadiloglu E, Ozten G, Gunes A, Orgul G, Beksac M. Myasthenia gravis and pregnancy: retrospective evaluation of 27 pregnancies in a tertiary center and comparison with previous studies. Ir J Med Sci. 2019;188(4):1261-7.
3. Jaleel J, Rajesh M, Sadasivan M, Nithyanandan S. Spinal Anaesthesia For LSCS In A Patient With Myasthenia Gravis: A Case Report. BMH Med J. 2019;6(1):21-4.
Published
2026-09-25
How to Cite
1.
Mir A, Mir M rafiq, Neesa W, Shebnum T. Successful Low-Dose Spinal Anaesthesia for Caesarean Section in a Parturient With Myasthenia Gravis: A Case Report. jms [Internet]. 2026Sep.25 [cited 2026Oct.2];30(2,3). Available from: https://www.jmsskims.org/index.php/jms/article/view/1503
Issue
Vol 30 No 2,3 (2026): Apr-Sep
Section
Case Reports
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.