Anesthetical Management of a Patient with Hereditary Muscle Sensory Neuropathy Type 2: Case of a 17-Year Old with Sacral Dermoid and a Short Overview of the Anesthesiological Considerations  

作　　者：Martin Lasič Ana Lasič Caroline Oberleitner Fugger Claudia Ernst Trampitsch Martin Lasič;Ana Lasič;Caroline Oberleitner;Fugger Claudia;Ernst Trampitsch(Abteilungfür Anästhesiologie Und Intensivmedzin, LKH Villach, Villach, Austria;University Medical Centre Ljubljana, Ljubljana, Slovenia)

机构地区：[1]Abteilungfür Anä sthesiologie Und Intensivmedzin, LKH Villach, Villach, Austria [2]University Medical Centre Ljubljana, Ljubljana, Slovenia

出　　处：《Open Journal of Anesthesiology》2021年第1期25-32,共8页麻醉学期刊（英文）

摘　　要：We hereby present a short overview of the anaesthesiological considerations regarding the patient with Charcot-Marie-Tooth disease also known as hereditary muscle and sensory neuropathy, which affects peripheral nerves and muscles. Due to pathophysiology of the disease certain anaesthesiological complications associated with HMSN can be related. A case report describing protocol of the total venous anesthesia in the 17-year old patient operated on sacral dermoid with fistulae is presented. The patient recovered without any further complications. In the conclusion we would like to bring the importance of awareness to prepare the HMSN patient for a surgical procedure as well from anesthesiological as from surgical point of view to avoid possible unwanted event such as malignant hyperthermia, hyperkalemia, seizures, prolonged effect of muscle relaxants and worsening of the disease. As an important alternative to general anesthesia regional anesthesia should be considered.We hereby present a short overview of the anaesthesiological considerations regarding the patient with Charcot-Marie-Tooth disease also known as hereditary muscle and sensory neuropathy, which affects peripheral nerves and muscles. Due to pathophysiology of the disease certain anaesthesiological complications associated with HMSN can be related. A case report describing protocol of the total venous anesthesia in the 17-year old patient operated on sacral dermoid with fistulae is presented. The patient recovered without any further complications. In the conclusion we would like to bring the importance of awareness to prepare the HMSN patient for a surgical procedure as well from anesthesiological as from surgical point of view to avoid possible unwanted event such as malignant hyperthermia, hyperkalemia, seizures, prolonged effect of muscle relaxants and worsening of the disease. As an important alternative to general anesthesia regional anesthesia should be considered.

关 键 词：Hereditary Muscle Sensory Neuropathy Type 2 ANESTHESIA Complications 

分 类 号：R73[医药卫生—肿瘤]