GENERAL ANESTHESIA IN A PATIENT WITH CHARCOT-MARIE-TOOTH DISEASE

Authors

  • S ISLAM Department of Anesthesia, Shifa International Hospital, Islamabad, Pakistan
  • MNA KHAN Department of Anesthesia, Shifa International Hospital, Islamabad, Pakistan
  • S MUSTAFA Department of Anesthesia, Shifa International Hospital, Islamabad, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.401

Abstract

General anesthesia organization in patients with Charcot-Marie-Tooth Sickness (CMTD) presents novel moves and contemplations because of the hidden neuromuscular and fringe sensory system association. The main objective of the case report is to establish a safe general anesthesia protocol without triggering malignant hyperthermia in a patient with Charcot-Marie-Tooth disease. A 22-year-old female student presented to the plastic surgery department with a history of progressive bilateral foot drop (more on the left than right). She had been diagnosed with CMTD 10 years previously. No surgical procedure was done previously. There was no problem other than the foot drop. The patient was NKDA and NKFA allergic, and there was no medication previously. This case underscores the complexities of managing CMTD-related symptoms, particularly foot drop, in a young female patient. The multidisciplinary collaboration between plastic surgery, orthopedics, and Anesthesiology offers a holistic approach to improving mobility and enhancing the patient's quality of life through muscle-strengthening exercises and potential surgical interventions.

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References

Brock, M., Guinn, C., and Jones, M. (2009). Anesthetic management of an obstetric patient with Charcot-Marie-Tooth disease: a case study. AANA journal 77.

Josef Schaller, S., and Fink, H. (2013). Sugammadex as a reversal agent for neuromuscular block: an evidence-based review. Core evidence, 57-67.

Kapoor, H., Shah, M., and Desai, S. (2021). Anaesthetic implications in patient with Charcot-Marie-Tooth disease. Indian Journal of Anaesthesia 65, 561-562.

Kaur, G., Kaur, P., Gupta, R., Kullar, K., Bhangu, G. S., and Sandhu, S. S. (2021). Discharge readiness after minor gynaecological surgeries comparing dexmedetomidine and ketamine premedication in bispectral index (BIS) guided propofol-based anaesthesia. Indian Journal of Anaesthesia 65, S34.

Kim, J. W., Kim, G., Kim, T. W., Han, W., Maeng, J. H., Jeong, C. Y., Choi, J. H., and Park, D. H. (2019). Anesthesia in a patient with Charcot-Marie-Tooth disease with pneumothorax: a case report. Journal of International Medical Research 47, 5896-5902.

Kumar, G., Sethi, N., Pant, D., Sood, J., Singh, A., Pandey, S., and Dutta, A. (2019). Comparison of bispectral index targeted end-tidal concentration of desflurane during three phases of orthotopic liver transplantation. Indian Journal of Anaesthesia 63, 225.

Ohshita, N., Oka, S., Tsuji, K., Yoshida, H., Morita, S., Momota, Y., and Tsutsumi, Y. M. (2016). Anesthetic management of a patient with Charcot-Marie-Tooth disease. Anesthesia Progress 63, 80-83.

Ortiz-Gómez, J. R., Palacio-Abizanda, F. J., and Fornet-Ruiz, I. (2010). Rocuronium induced neuromuscular blockade reversion with sugammadex in a patient with Charcot-Marie-Tooth disease. Anestezjologia I Ratownictwo 4, 307-309.

Pasha, T., and Knowles, A. (2013). Anaesthetic management of a patient with Charcot-Marie-Tooth disease for staged diaphragmatic plication. British journal of anaesthesia 110, 1061-1063.

Schmitt, H. J., and Münster, T. (2006). Mivacurium-induced neuromuscular block in adult patients suffering from Charcot-Marie-Tooth disease. Canadian Journal of Anesthesia 53, 984.

Ursino, G., Alberti, M. A., Grandis, M., Reni, L., Pareyson, D., Bellone, E., Gemelli, C., Sabatelli, M., Pisciotta, C., and Luigetti, M. (2013). Influence of comorbidities on the phenotype of patients affected by Charcot–Marie–Tooth neuropathy type 1A. Neuromuscular Disorders 23, 902-906.

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Published

2023-09-21

How to Cite

ISLAM , S., KHAN , M., & MUSTAFA , S. (2023). GENERAL ANESTHESIA IN A PATIENT WITH CHARCOT-MARIE-TOOTH DISEASE. Biological and Clinical Sciences Research Journal, 2023(1), 401. https://doi.org/10.54112/bcsrj.v2023i1.401