Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report
Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy that usually develops before 20 years of age. It demonstrates multisystemic involvement with a triad of cardinal features: progressive ophthalmoplegia, pigmentary retinopathy, and cardiac conduction abnormalities. In addition, patients mig...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2014-10-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-67-283.pdf |
| _version_ | 1819161501352591360 |
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| author | Ali S Faris Qutaiba A Tawfic Leo Jeyaraj |
| author_facet | Ali S Faris Qutaiba A Tawfic Leo Jeyaraj |
| author_sort | Ali S Faris |
| collection | DOAJ |
| description | Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy that usually develops before 20 years of age. It demonstrates multisystemic involvement with a triad of cardinal features: progressive ophthalmoplegia, pigmentary retinopathy, and cardiac conduction abnormalities. In addition, patients might have cerebellar ataxia, a high content of protein in the cerebrospinal fluid, proximal myopathy, multiple endocrinopathies, and renal tubular acidosis. We herein report the successful obstetric analgesic and anesthetic management of a 28-year-old parturient patient with KSS who required labor analgesia and proceeded to deliver by cesarean section. We extrapolate that regional analgesia/anesthesia might be beneficial for reducing the metabolic demands associated with the stress and pain of labor in patients with KSS. Efficient postoperative analgesia should be provided to decrease oxygen requirements. |
| first_indexed | 2024-12-22T17:13:21Z |
| format | Article |
| id | doaj.art-0bff36b0894d44f78b7051edf5f0031f |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-22T17:13:21Z |
| publishDate | 2014-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-0bff36b0894d44f78b7051edf5f0031f2022-12-21T18:18:59ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-10-0167428328610.4097/kjae.2014.67.4.2837934Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case reportAli S Faris0Qutaiba A Tawfic1Leo Jeyaraj2Department of Anesthesiology, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.Department of Anesthesiology, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.Department of Anesthesiology, The Ottawa Hospital and University of Ottawa, Ottawa, Canada.Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy that usually develops before 20 years of age. It demonstrates multisystemic involvement with a triad of cardinal features: progressive ophthalmoplegia, pigmentary retinopathy, and cardiac conduction abnormalities. In addition, patients might have cerebellar ataxia, a high content of protein in the cerebrospinal fluid, proximal myopathy, multiple endocrinopathies, and renal tubular acidosis. We herein report the successful obstetric analgesic and anesthetic management of a 28-year-old parturient patient with KSS who required labor analgesia and proceeded to deliver by cesarean section. We extrapolate that regional analgesia/anesthesia might be beneficial for reducing the metabolic demands associated with the stress and pain of labor in patients with KSS. Efficient postoperative analgesia should be provided to decrease oxygen requirements.http://ekja.org/upload/pdf/kjae-67-283.pdfkearns-sayre syndromemitochondrial myopathiesobstetric anesthesia |
| spellingShingle | Ali S Faris Qutaiba A Tawfic Leo Jeyaraj Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report Korean Journal of Anesthesiology kearns-sayre syndrome mitochondrial myopathies obstetric anesthesia |
| title | Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report |
| title_full | Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report |
| title_fullStr | Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report |
| title_full_unstemmed | Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report |
| title_short | Obstetric anesthesia considerations in Kearns-Sayre syndrome: a case report |
| title_sort | obstetric anesthesia considerations in kearns sayre syndrome a case report |
| topic | kearns-sayre syndrome mitochondrial myopathies obstetric anesthesia |
| url | http://ekja.org/upload/pdf/kjae-67-283.pdf |
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