Santos Conceição C, Ferreira Carla I, Carvalho Erica, Amaro Maria R, Gomes Cristina
Anesthesiology and Perioperative Medicine, Hospital de Braga, Braga, PRT.
Cureus. 2024 Sep 10;16(9):e69058. doi: 10.7759/cureus.69058. eCollection 2024 Sep.
Facioscapulohumeral muscular dystrophy (FSHD) belongs to the group of rare diseases known as muscular dystrophies. Patients with muscular dystrophies face a heightened risk of intraoperative complications, including severe hyperkalemia and acute rhabdomyolysis. This case report outlines the anesthetic approach employed for a pediatric patient diagnosed with FSHD undergoing a planned exploratory tympanotomy. To the best of our knowledge, it is the first documented case in the literature detailing pediatric general anesthesia in a patient with FSHD, with the additional use of neuromuscular blockade reversal with sugammadex.
面肩肱型肌营养不良症(FSHD)属于称为肌营养不良症的罕见病组。患有肌营养不良症的患者面临术中并发症的风险增加,包括严重高钾血症和急性横纹肌溶解。本病例报告概述了一名被诊断为FSHD的儿科患者在计划进行的探查性鼓室切开术中所采用的麻醉方法。据我们所知,这是文献中首次记录的详细描述FSHD患者儿科全身麻醉的病例,同时额外使用了舒更葡糖进行神经肌肉阻滞逆转。