TY - JOUR TT - The Management of Anaesthesia in a Pregnant with Ankylosing Spondylitis AU - Şayan, Hasan AU - Koca, Erdinç PY - 2016 DA - December DO - 10.24938/kutfd.252672 JF - The Journal of Kırıkkale University Faculty of Medicine JO - Kırıkkale Uni Med J PB - Kırıkkale Üniversitesi WT - DergiPark SN - 2148-9645 SP - 161 EP - 164 VL - 18 IS - 3 KW - Ankilozan spondilit KW - spinal anestezi KW - gebelik N2 - Ankylosingspondylitis is a painful, chronic, inflammatory disease in the group ofseronegative spondyloarthropathies. It is very important to remember thepossibility of difficult intubation, the presence of concomitant diseases andneuraxial block implementation challenges in AS patients. In thisarticle we presented a case report 32-year-old, 165 cm tall, 96 kg, 40 weeks pregnantpatient. The mouth opening was 4 cm, mallampati score was II and thethyromental distance was 7cm. The patientwas diagnosed as ankylosing spondylitis for 4 years. Limitations were identified in the patient's neck extensionand flexion of the lumbar region. It is learned that she was being followedwith diagnosis of gestational diabetes during pregnancy. Spinal anesthesia was administered to the patient in seatedposition with right paramedian approach at once. There were no complications during and after the procedure. CR - Oliveira CRD. Ankylosing Spondylitis and Anesthesia. Rev Bras Anestesiol. 2007; 57(2): 214- 22. 2. Inman RD. The CR - Spondyloarthropathies. In: CR - Goldman L, Schafer AI, eds. Goldman’s Cecil CR - Medicine. 24th ed. Philadelphia: Elsevier Saunders. 2012: 1690-6. CR - Sivrikaya GU, Hanci A, Dobrucali H, Yalcinkaya A. Cesarean Section Under Spinal Anesthesia In A Patient With Ankylosing Spondylitis. Middle East J Anaesthesiol. 2010; 20(6): 865-8. CR - Woodward LJ, Kam PCA. Ankylosing spondilitis: recent developments and anaesthetic implications. Anaesthesia. 2009; 64(5): 540-8. CR - Alıç M, Birbiçer H, Kurku Ö. Obez Gebelerde Entübasyon Güçlügünün Belirlenmesinde Prediktif Testlerin Önemi. Türk Anest Rean Der Dergisi. 2011; 39(3): 126-33. CR - Kakar PN, Roy PM, Pant V, Das J. Anesthesia for joint replacement surgery: Issues with coexisting diseases. J Anesthesiol Clin Pharmacol. 2011; 27(3): 315-22. CR - Lai HY, Chen IH, Chen A, Hwang FY, Lee Y. The use of the Glidescope _for tracheal intubation in patients with Ankylosing Spondylitis. British Journal of Anaesthesia. 2006; 97(3): 419-22. CR - Wittmann FW, Ring PA. Anaesthesia for hip replacement in ankylosing spondylitis. J R Soc Med. 1986; 79(8): 457-9. CR - Schelew BL, Vaghadia H. Ankylosing spondylitis and neuraxial anaesthesia-a 10 year review. Can J Anaesth. 1996; 43: 65-8. CR - Kumar CM, Mehta M. Ankylosing spondylitis: lateral approach to spinal anaesthesia for lower limb surgery. Can J Anaesth. 1995; 42: 73-6. CR - Wulf H. Epidural anaesthesia and spinal hematoma. Can J Anaesth. 1996; 43(12): 1260-71. UR - https://doi.org/10.24938/kutfd.252672 L1 - https://dergipark.org.tr/tr/download/article-file/218948 ER -