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An unusual manifestation of bleeding diathesis in a patient with osteogenesis imperfecta

Published online by Cambridge University Press:  12 September 2006

G. Edge ,
B. Okafor ,
M. E. Fennelly  and
A. O. Ransford
G. Edge
Affiliation:
Department of Anaesthetics, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex HA7 4LP, UK
B. Okafor
Affiliation:
Department of Surgery, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex HA7 4LP, UK
M. E. Fennelly
Affiliation:
Department of Anaesthetics, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex HA7 4LP, UK
A. O. Ransford
Affiliation:
Department of Surgery, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex HA7 4LP, UK
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Abstract

We present the anaesthetic and surgical management, and post-operative course of a patient with osteogenesis imperfecta which exemplifies the problems associated with this condition. The observed petechial haemorrhagic rash is not characteristic of the bleeding tendency in osteogenesis imperfecta nor characteristic of acute disseminated intravascular coagulation. Despite potential life-threatening complications the patient made a good recovery and was discharged 3 weeks after surgery.

Keywords

osteogenesis imperfectadifficult intubationspinal osteotomybleeding
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 14 , Issue 2 , March 1997 , pp. 215 - 219
Copyright
1997 European Society of Anaesthesiology

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