Successful Anesthetic Management of Myotonic Dystrophy Type I Using Sugammadex: A Case Report

Myotonic dystrophy (DM) is an uncommon inherited disease. Anesthesia for DM patients is tough due to its potency of cardiogenic and pulmonary problems, but a series of studies have shown how to manage and avoid complications and situations. We describe a case of a 33-year-old male patient who was scheduled for an elective excision & biopsy on the left axillae for hidradenitis suppurativa with DM type I. Anesthesia was induced and maintained with propofol, remifentanil, and rocuronium. Sugammadex is used as a reversal agent of neuromuscular blockade. He didn’t show myotonia during surgery and emergence. He also didn’t show postoperative pulmonary complications.

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A case report of malignant hyperthermia in a patient with myotonic dystrophy type I

Medicine ◽

10.1097/md.0000000000025859 ◽

2021 ◽

Vol 100 (23) ◽

pp. e25859

Author(s):

Seon Woo Yoo ◽

Seon Ju Baek ◽

Dong-Chan Kim ◽

A Ram Doo

Keyword(s):

Case Report ◽

Malignant Hyperthermia ◽

Myotonic Dystrophy ◽

Type I ◽

Myotonic Dystrophy Type

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Faculty Opinions recommendation of Myotonic dystrophy type I in childhood Long-term evolution in patients surviving the neonatal period.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1119933.576047 ◽

2008 ◽

Author(s):

Nigel Clarke

Keyword(s):

Myotonic Dystrophy ◽

Neonatal Period ◽

Long Term Evolution ◽

Type I ◽

Myotonic Dystrophy Type ◽

Term Evolution

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Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03751-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yuyan Nie ◽

Weimin Zhou ◽

Shaoqiang Huang

Keyword(s):

Case Report ◽

Cesarean Delivery ◽

Anesthetic Management ◽

Neurological Complications ◽

Atlantoaxial Dislocation ◽

Epidural Needle ◽

Team Approach ◽

Anesthetic Techniques ◽

Type I ◽

Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

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Pilomatrix Carcinoma in a Patient With Type 1 Myotonic Dystrophy: A Case Report

Plastic Surgery Case Studies ◽

10.1177/2513826x19898833 ◽

2020 ◽

Vol 6 ◽

pp. 2513826X1989883

Author(s):

Sarah L. Zhu ◽

David Choi ◽

Jenny Santos ◽

Bernard S. Jackson ◽

Matthew McRae

Keyword(s):

Case Report ◽

Myotonic Dystrophy ◽

Latissimus Dorsi ◽

Myocutaneous Flap ◽

Myotonic Dystrophy Type 1 ◽

Myotonic Dystrophy Type ◽

Genetic Condition ◽

Latissimus Dorsi Myocutaneous Flap ◽

Pilomatrix Carcinoma

This is the first report of pilomatrix carcinoma in a man with C282Y myotonic dystrophy type 1. This pilomatrix carcinoma had originally presented as a rapidly growing recurrence of a histopathologically confirmed pilomatrixoma, removed a year prior. On examination, the fungating mass had measured 10 × 23 cm. A wide local resection with removal of suspicious lymph nodes was preformed, and the resulting defect was reconstructed with a latissimus dorsi myocutaneous flap and skin graft. Histologic investigation of the excised mass confirmed the diagnosis of pilomatrix carcinoma. This is the first reported case of pilomatrix carcinoma in a patient with a genetic condition that often presents with scalp pilomatrixomas. Potential implications of myotonic dystrophy on developing pilomatrix carcinoma are discussed.

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