Safety of Spinal Anesthesia in A Patient with Kennedy’s Disease: A Case Report

Kennedy’s disease, otherwise known as spinal and bulbar muscular atrophy, poses significant anesthetic challenges in patients with bulbar dysfunction, respiratory muscle weakness, and potential sensitivity to neuromuscular blocking agents. This article documents a case involving a 53 year old man diagnosed with Kennedy’s disease who successfully underwent open reduction and internal fixation of a right ankle fracture under spinal anesthesia without perioperative respiratory or neurological complications. Careful titration of block height, avoidance of sedatives, and close postoperative monitoring contributed to a stable course, suggesting that spinal anesthesia can be safely administered in this particular patient population.