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Background <p>Dysfibrinogenemia causes abnormal fibrinogen production, leading to thrombotic or bleeding complications, which are relative contraindications for neuraxial anesthesia. Neuraxial anesthesia is recommended for cesarean delivery to reduce maternal and neonatal morbidity.</p> Case presentation <p>We report a 39-year-old gravida 2, para 0 woman with dysfibrinogenemia who safely underwent spinal anesthesia, as assessed using thromboelastography, for an urgent cesarean delivery.</p> Conclusions <p>Thromboelastography can aid the anesthesia team in evaluating the risks versus benefits of neuraxial anesthesia in patients with hereditary dysfibrinogenemia.</p>

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Spinal anesthesia in a patient with hereditary dysfibrinogenemia who underwent emergency cesarean delivery: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月2日

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  • Sae Ono,
  • Yuki Hosokawa,
  • Mizue Kamiyama,
  • Eriko Ohsugi,
  • Michiko Gotanda,
  • Yuka Yamashita,
  • Rie Kato

摘要

Background

Dysfibrinogenemia causes abnormal fibrinogen production, leading to thrombotic or bleeding complications, which are relative contraindications for neuraxial anesthesia. Neuraxial anesthesia is recommended for cesarean delivery to reduce maternal and neonatal morbidity.

Case presentation

We report a 39-year-old gravida 2, para 0 woman with dysfibrinogenemia who safely underwent spinal anesthesia, as assessed using thromboelastography, for an urgent cesarean delivery.

Conclusions

Thromboelastography can aid the anesthesia team in evaluating the risks versus benefits of neuraxial anesthesia in patients with hereditary dysfibrinogenemia.