Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 6 4 2020 11 22 194 196 Maryam Vosoughian Anesthesiology Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Shideh Dabir Tracheal Diseases Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mastaneh Dahi Anesthesiology Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammadreza Moshari Anesthesiology Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Soudeh Tabashi Anesthesiology Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Firoozeh Madadi Anesthesiology Research Center, Department of Anesthesiology and Critical Care, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2020 10 02 2020 10 21 Spinal muscular atrophy is a rare genetic neuromuscular disease characterized by loss of anterior horn cells of spinal cord and brain stem nuclei, resulting in progressive muscle weakness. Anesthesia for these patients is risky because of the risk of worsening of muscle weakness and consequent postoperative respiratory complications. We report anesthesia management in a nulliparous parturient with type 3 disease who underwent urgent cesarean delivery due to progressive decline of amniotic fluid index. https://aacc.tums.ac.ir/index.php/aacc/article/view/307 https://aacc.tums.ac.ir/index.php/aacc/article/download/307/478