Anesthetic Management of Robotic Thymectomy in a Patient With Morvan Syndrome: A Case Report.
A A Pract
; 15(1): e01383, 2021 Jan 14.
Article
en En
| MEDLINE
| ID: mdl-33512906
ABSTRACT
Morvan syndrome (MvS) is a rare acquired paraneoplastic autoimmune neuromyotonia with central and autonomic nervous system involvement that has been incompletely described in the literature. We describe the successful administration of general anesthesia for robotic thymectomy to an MvS patient with severe encephalopathy, cardiac dysautonomia, and peripheral nerve hyperexcitation. Importantly, thymus removal provided effective source control with eventual resolution of MvS symptoms. MvS is briefly reviewed and novel observations are described of related interactions between nondepolarizing neuromuscular blockade (NDNMB) and bispectral index (BIS).
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Base de datos:
MEDLINE
Asunto principal:
Encefalopatías
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Síndrome de Isaacs
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Procedimientos Quirúrgicos Robotizados
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Anestésicos
Idioma:
En
Revista:
A A Pract
Año:
2021
Tipo del documento:
Article