# Epidural Block in a Patient With Melkersson-Rosenthal Syndrome: A Case Report

**Authors:** Acácia Silva, Mariana F Lima, Carlos Barbosa, Helder Cardoso

PMC · DOI: 10.7759/cureus.61282 · 2024-05-29

## TL;DR

This case report details the first use of an epidural block for labor in a patient with Melkersson-Rosenthal syndrome, a rare condition that can cause airway issues.

## Contribution

The paper presents the first documented use of epidural analgesia in a patient with Melkersson-Rosenthal syndrome during labor.

## Key findings

- A tailored epidural protocol was effective in preventing symptom exacerbation during labor.
- The patient had a complication-free vaginal delivery.
- The report offers guidance for managing anesthesia in similar cases.

## Abstract

This case report describes the first known application of an epidural block for labor analgesia in a patient with Melkersson-Rosenthal syndrome (MRS), a rare disorder that may present sudden and threatening airway complications. A tailored epidural protocol effectively mitigated symptom exacerbation, facilitating a complication-free vaginal delivery. This report not only enriches the sparse literature on anesthesia in patients with MRS but also provides a crucial review of perioperative considerations for administering either general or regional anesthesia in similar cases.

## Linked entities

- **Diseases:** Melkersson-Rosenthal syndrome (MONDO:0007969)

## Full-text entities

- **Diseases:** MRS (MESH:D008556)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC11211859/full.md

---
Source: https://tomesphere.com/paper/PMC11211859