DOI: https://doi.org/10.36347/sjmcr.2026.v14i01.014

Pages: 68-70

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.