Management of Myotonia Congenita During Pregnancy and Labor

Abstract

Myotonia congenita (MC) is a rare genetic disorder which affects skeletal muscles leading to delayed relaxation after voluntary contraction. Symptoms are aggravated during pregnancy requiring close monitoring antenatally. We describe the case of a patient in her third pregnancy affected with MC who had a successful delivery of a healthy baby via elective caesarean section. She had an uneventful pregnancy with no worsening of her symptoms and no abnormalities detected on routine scanning. This case is unique as it represents the challenges that obstetricians encounter in managing pregnant women with rare neurological disorders. Due to potential risks related to these conditions, the mainstay of care is multidisciplinary team management and planned labor.




J Clin Gynecol Obstet. 2014;3(2):71-72
doi: http://dx.doi.org/10.14740/jcgo240w