Successful application of regional anesthesia for elective cesarean section in a patient with myotonia dystrophica complicated by placenta previa and placenta accrete

The anesthetic management of a patient with myotonia dystrophica and placenta previa with accreta, presenting for elective cesarean section at 35 weeks of gestation is presented. The onset of muscle weakness had been delayed and presented during the second trimester of pregnancy. The pregnancy was further complicated by findings of restrictive lung disease and anemia. After delivery of the baby, the patient required a sub total hysterectomy due to failure of the placenta to separate. This case highlights the successful application of regional anesthesia in a complicated myotonia dyotrophica parturient with relative contraindication for GA.