Combined spinal epidural anesthesia for cesarean section in a parturient with spinal muscle atrophy type III (Kugelberg–Walendar disease)

effective treatment is currently available and patients may experience severe physical disability which is often life limiting. The International Standard of Care Committee for SMA was formed in 2005, with a goal of establishing practice guidelines for clinical care of these patients [3]. SMA in pregnancy is very rare and poses multiple problems for the peripartum care team [4]. We found a handful of previously published reports of regional anesthesia for cesarean section in this condition in the English language literature [5]. Our report provides one more piece of evidence that regional anesthesia is a safe alternative to general anesthesia in parturients with SMA disease. It is concluded that evidence-based practice standards for SMA are urgently needed to help with the multidisciplinary care (including obstetric and obstetric anesthesia) of these patients.