Anaesthesia challenges of a parturient with paramyotonia congenita and terminal filum lipoma presenting for labour and caesarean section under epidural anaesthesia - a case report.
BMC Anesthesiol
; 21(1): 57, 2021 02 18.
Article
en En
| MEDLINE
| ID: mdl-33602114
ABSTRACT
BACKGROUND:
Paramyotonia congenita is a rare autosomal dominant myopathy which presents with periodic weakness due to cold and exercise. It is caused by mutations of the SCN4 gene which encodes the sodium channel in skeletal muscles. CASE PRESENTATION We report a full term obstetric patient with both paramyotonia congenita and terminal filum lipoma who presents for induction of labour followed by an emergency caesarean section performed under epidural anesthesia. Her recovery is subsequently complicated by a 3-day history of postpartum paraparesis attributed to hypokalemic periodic paralysis.CONCLUSION:
We describe the perioperative anesthesia considerations and challenges in this case with a review of the current literature. This case report highlights the importance of early proactive and collaborative multidisciplinary approach, maintaining normal temperature and electrolytes with a heightened vigilance for muscle-related perioperative complications.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Cesárea
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Trastornos Miotónicos
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Parálisis Periódica Hipopotasémica
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Anestesia Epidural
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Anestesia Obstétrica
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Lipoma
Límite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
BMC Anesthesiol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Singapur