General Anesthesia with Sevoflurane for a Patient with MELAS (Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, Stroke-like Episodes) Syndrome: A case report.
10.4097/kjae.2005.49.3.429
- Author:
Seung Zhoo YOON
1
;
Seung Hyun CHUNG
;
Hee Soo KIM
;
Ah Young OH
;
Seong Deok KIM
;
Chong Sung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. kimcs@snu.ac.kr
- Publication Type:Case Report
- Keywords:
complication;
general anesthesia;
MELAS syndrome;
mitochondrial myopathy;
sevoflurane
- MeSH:
Acidosis, Lactic*;
Anesthesia;
Anesthesia, General*;
Anesthetics;
Humans;
MELAS Syndrome*;
Mitochondrial Myopathies;
Muscular Diseases*;
Nitrous Oxide;
Thiopental;
Tracheostomy
- From:Korean Journal of Anesthesiology
2005;49(3):429-432
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We describe the anesthetic management of a patient with mitochondrial myopathy, encephalopathy, lactic acidosis, stroke-like episodes (MELAS) syndrome, and a form of mitochondrial myopathy. A 14 year-old-male with MELAS syndrome underwent tracheostomy under general anesthesia. Anesthesia was managed with thiopental sodium, nitrous oxide, sevoflurane, and rocuronium. His reactions to anesthetics and muscle relaxant were within normal limits. No serious complication was observed. The implication of MELAS syndrome for anesthesia are discussed.
