Anesthetic experience using total intravenous anesthesia in a patient with Isaacs' syndrome -A case report-

We report on an anesthetic experience with a 74-year-old female with Isaacs' syndrome, who underwent elective surgery for open rotator cuff repair. Isaacs' syndrome is a rare peripheral motor neuron disorder with clinical manifestations such as involuntary muscle twitching, cramps, mild we...

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Bibliographic Details
Main Authors: Young Mi Kim, Sang Hoon Lee, Cheol Sig Han, Eun Mi Choi, Young Ryong Choi, Mi Hwa Chung
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2013-02-01
Series:Korean Journal of Anesthesiology
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Online Access:http://ekja.org/upload/pdf/kjae-64-164.pdf
Description
Summary:We report on an anesthetic experience with a 74-year-old female with Isaacs' syndrome, who underwent elective surgery for open rotator cuff repair. Isaacs' syndrome is a rare peripheral motor neuron disorder with clinical manifestations such as involuntary muscle twitching, cramps, mild weakness and increased sweating. To avoid prolonged neuromuscular blockade, the patient was observed with neuromuscular monitoring during total intravenous anesthesia with propofol, remifentanil, and atracurium. No adverse events were observed during the anesthetic management, and the patient recovered smoothly from the neuromuscular blockade. We describe the clinical characteristics of Isaacs' syndrome and its specific considerations in anesthesia.
ISSN:2005-6419
2005-7563