Epidural anesthesia for a lumbar discectomy in a patient with paramyotonia congenita: A case report.
- Author:
Kang Woo KIM
1
;
Jong Cook PARK
;
Hyun Jung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju, Korea. hjanesthesia@empas.com
- Publication Type:Case Report
- Keywords:
Epidural analgesia;
Myotonia;
Paramyotonia congenita
- MeSH:
Analgesia, Epidural;
Anesthesia, Epidural*;
Body Temperature;
Diskectomy*;
Humans;
Muscle Weakness;
Muscle, Skeletal;
Myotonia;
Myotonic Disorders*;
Neuromuscular Depolarizing Agents;
Potassium
- From:Anesthesia and Pain Medicine
2014;9(4):298-300
- CountryRepublic of Korea
- Language:English
-
Abstract:
Paramyotonia congenita is a rare hereditary skeletal muscle disease characterized by exercise- or cold-induced myotonia. Anesthesiologists should make any efforts to prevent perioperative myotonic attack and muscle weakness in patients with this kind of disorder. Specifically, the administration of depolarizing muscle relaxants should be avoided and serum potassium level as well as body temperature should be carefully managed. The present report describes our experiences with successful epidural anesthesia in a patient with paramyotonia congenita who underwent a lumbar discectomy.
