Epidural Anesthesia in a Patient With Turner Syndrome: A Case Report

Turner syndrome (TS) is associated with short stature, cardiac abnormalities, and musculoskeletal deformity, which pose unique obstetric anesthesia challenges in the small proportion of TS patients who go through spontaneous or assisted pregnancy. There is very limited data available on the anesthetic management of these patients. This case report presents the management of a 32-year-old gravida 2 para 0 (G2P0010) patient with mosaic TS undergoing labor induction at 37 weeks of gestation. An indwelling epidural catheter placed under ultrasound guidance provided adequate labor analgesia with about one-tenth of the dosing compared to the general population and led to a successful vaginal delivery without complications. This case highlights the unique challenges presented by the TS patients to obstetric anesthesia, such as difficult epidural placement and unusual neuraxial dosing, and provides important insight into the safe anesthetic practice in this patient population.