Anaesthetic Course in a Rare Case of Lupus Vasculitis Presenting as Mononeuritis Multiplex for Caesarean Section

The term mononeuritis multiplex (MNM) complex is used to describe myriad groups of disorders that share a common presentation characterized by painful, multifocal, asymmetrical peripheral neuropathy affecting sensory and motor nerves. Vasculitic origin accounts for most multifocal neuropathy presenting patterns. There are no established guidelines for anesthesia in vasculitic neuropathies. Due consideration should be given in evaluating other systems carefully in patients with peripheral neuropathic disorder as they may be harbinger of the systemic neurological disorder. This case report features an uneventful anesthetic course of a 37-year-old G2P1L1 with mononeuritis multiplex, Charcot’s arthropathy, and hypothyroidism scheduled for elective caesarean section under subarachnoid block. To conclude regional anesthesia outweighed any theoretical risk and avoided postoperative pulmonary complications associated with general anesthesia.