Rett Syndrome and anaesthetic management: a case report

Rett syndrome is a progressive neurological disorder that occurs only in females and it manifests with mental retardation, seizures, movement disorders, autistic behavior, and abnormal breathing. A 4.5-year-old female child with Rett syndome underwent dental restoration under sedoanalgesia. Her physical examination was normal except for sterotyped movements. We recommend that anesthesiologists should have knowledge about this disorder’s characteristics, complications, potential associated problems, and important aspects of anesthetic drug selection

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1. Berridge CW, Waterhouse BD. The locus coeruleus- noradrenergic system: modulation of behavioral state and state-dependent cognitive processes. Brain Res Rev. 2003;42(1):33-84.

2. Karmaniolou I, Krishnan R, Galtrey E, Cleland S, Vijayaraghavan R. Perioperative management and outcome of patients with Rett syndrome undergoing scoliosis surgery: a retrospective review. J Anesth. 2015;29(4):492-8.

3. Kako H, Martin DP, Cartabuke R, Beebe A, Klamar J, Tobias JD. Perioperative management of a patient with Rett syndrome. Int J Clin Exp Med. 2013;6(5):393-403.

4. Kimura F, Wada M, Kudo T, Hashimoto H, Ishihara H, Hirota K. A Case of Rett Syndrome Monitored with BIS and Neuromuscular monitor during total Intravenous Anesthesia. Masui. 2011;60(6):700-2.

5. Jerome R, Sylvain R. Severe masseter spasms in a Rett syndrome during rapid sequence intubation: A succinylcholine severe side effect. Indian J Crit Care Med. 2015;19(9):563-4.

6. Michaloudis DG, Kanakoudis FS, Petrou AM, Konstantinidou AS, Pollard BJ. The effects of midazolam or propofol followed by suxamethonium on the QTc interval in humans. Eur J Anaesthesiol. 1996;13(4):364-8.

7. Kawasaki E, Mishima Y, Ito T, Ito A, Takaseya H, Kameyama N, Fukugasako H, Ushijima K. Anesthetic management of a patient with Rett syndrome associated with trismus and apnea attacks. Masui. 2012;61(1):96-9.

8. Stevens JB, Wheatley L. Tracheal intubation in ambulatory surgery patients using remifentanil and propofol without muscle relaxants. Anesth Analg. 1998;86(1):45-9.

9. Tofil NM, Buckmaster MA, Winkler MK, Callans BH, Islam MP, Percy AK. Deep sedation with propofol in patients with Rett syndrome. J Child Neurol. 2006;21(3):210-3.

10. Konen AA, Joshi GP, Kelly CK. Epidural analgesia for pain relief after scoliosis surgery in a patient with Rett’s syndrome. Anesth Analg. 1999;89(2):451-2.

11. Mastrangelo M, Celato A. Diagnostic work-up and therapeutic options in management of pediatric status epilepticus. World J Pediatr. 2012;8(2):109-15.

12. Adachi M, Ikemoto Y, Kubo K, Takuma C. Seizure- like movements during induction of anesthesia with sevoflurane. Br J Anesth. 1992;68(2):214-5.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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