Spinal anesthesia (a type of regional anesthesia) is generally considered a safer option for people with myasthenia gravis (MG) compared to general anesthesia. Since MG affects how nerves communicate with muscles, general anesthesia carries more risks.
When possible, surgeons are encouraged to use local or regional Show Full Answer
Spinal anesthesia (a type of regional anesthesia) is generally considered a safer option for people with myasthenia gravis (MG) compared to general anesthesia. Since MG affects how nerves communicate with muscles, general anesthesia carries more risks.
When possible, surgeons are encouraged to use local or regional anesthesia — which includes spinal/epidural options — to avoid the complications that can come with full sedation. That said, no anesthesia is completely without risk when you have MG. Here are some key things to keep in mind:
- Always inform your surgical team that you have MG before any procedure
- Request a team experienced with MG if possible — it makes a real difference
- Your neurologist should be involved in pre-surgical planning
- Discuss your current medications so the team can plan accordingly
- Neuromuscular blocking agents (NMBAs) used in general anesthesia are generally avoided with MG, making regional options preferable
The good news is that spinal anesthesia has even been used safely during labor and delivery for people with MG. Always have a detailed conversation with both your neurologist and anesthesiologist before any procedure.
August 5
Join
Your Privacy Choices
