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Anesth Analg 2007;104:1561-1562
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000261247.53075.dd

PAIN MEDICINE

Spinal Anesthesia in a Patient with Congenital Insensitivity to Pain with Anhidrosis

Carlos R. D. Oliveira, MD, TSA/SBA, Fúlvio A. dos Santos, MD, ME3, Celso S. Nogueira, MD, TSA/SBA, and Emerson J. Mainardes, MD

From the Department of Anesthesiology, Irmandade da Santa Casa de Misericórdia de Santos, CET em Anestesiologia da Santa Casa de Santos, Santos, São Paulo, Brazil.

Address correspondence and reprint requests to Carlos Rogério Degrandi Oliveira, MD, TSA/SBA, Ave. Dr. Cláudio Luiz da Costa, 50, Santos, SP, Brazil 11075-900. Address e-mail to anestesiologia{at}hotmail.com.

Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, hereditary, autonomic recessive disorder. The inability to perceive pain results from loss of nociceptive afferents, while anhidrosis is caused by loss of innervation to the sweat glands. Insensitivity to pain and mental retardation lead to self-inflicted injuries, corneal lacerations, painless bony fractures, joint deformities with consequent chronic osteomyelitis, and septic arthritis. There are only a few reports on the anesthetic management for patients with CIPA. We describe the anesthetic management of a young woman with CIPA receiving bilateral arthrodesis of the ankle.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.