ANESTHETIC CHALLENGES IN A PATIENT WITH MYOTONIA CONGENITA- A CASE REPORT
| Autor: | Jayashree Ramesh, Ramsesh Manohar R, Preethi Jothi, Sornam Annamalai, Lakshmi Ramakrishnan |
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| Rok vydání: | 2023 |
| Předmět: |
Control and Optimization
Applied Mathematics Mechanical Engineering General Engineering Biomedical Engineering Biophysics Aerospace Engineering General Physics and Astronomy Ocean Engineering Statistical and Nonlinear Physics General Medicine Computer Science Applications Computational Mathematics Mathematics (miscellaneous) Control and Systems Engineering Electrical and Electronic Engineering General Economics Econometrics and Finance Analysis Mathematical Physics Social Sciences (miscellaneous) |
| Zdroj: | GLOBAL JOURNAL FOR RESEARCH ANALYSIS. :186-187 |
| Popis: | Background: Myotonia congenita (MC) was rst described as a skeletal muscle disorder by Thomsen in 1876. As a result of the mutation of the chloride channel gene (CLCN1), which is on the 17th chromosome, patients suffer from muscle contractility and fatigue. Autosomal dominance and autosomal recessive heredity gene may present in this disease. The prevalence of MC is 1/100000 all over the world. In this disease, muscle contraction, hypertrophy and contracture are present without muscle weakness. Dysphagia, aspiration and cardiomyopathy are frequent symptoms. The most important complication is malignant hyperthermia in these patients. A 27-year-old male who Case Report: is a known case of myotonia congenita and on Tablet Phenytoin for past 10 years posted for orthognathic surgery. TIVA (Total intravenous anesthesia) was planned for the patient. Precautions were taken to prevent fatal malignant hyperthermia For the Conclusion: conduct of anesthesia in a patient with myotonia congenita preoperative evaluation, laboratory tests, relevant consultations, anesthetic drugs to be used, normothermia and ICU follow-up in postoperative period are very important. If anesthesiologist can't obtain dantrolene natrium, TIVA could be a safe solution with the precautions that were present above |
| Databáze: | OpenAIRE |
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