Korean J Anesthesiol.  2000 May;38(5):940-943. 10.4097/kjae.2000.38.5.940.

Anesthetic Experience of the Patient with Nemaline Myopathy: A case report

• Choi JW
• Lee JY
• Lee HJ
• Chon JY
• Hong SJ
• Moon SH

• KMID: 1936312
• DOI: http://doi.org/10.4097/kjae.2000.38.5.940

Abstract

Nemaline rod myopathy is an autosomal dominant disease characterized by nonprogressive symmetric skeletal muscle weakness affecting principally proximal skeletal muscles. Anesthesia of the patient with this disease is known to present some problems:difficult intubation due to facial dysmorphism, delayed onset of succinilcholine, reduced vital capacity on pulmonary function test and skeletal deformity. We anesthetized 19 year old male patient with nemaline myopathy for the operation of cryptochidism. Because of the possibility of difficult intubation, we produced epidural anesthesia with 20 G Tuohy needle at L5-S1 intervertebral space successfully. There were no problems in the course of operation and recovery except transient airway obstruction due to sedative.

Keyword

Myopathy: nemaline myopathy

MeSH Terms

Airway Obstruction
Anesthesia
Anesthesia, Epidural
Congenital Abnormalities
Humans
Intubation
Male
Muscle, Skeletal
Myopathies, Nemaline*
Needles
Respiratory Function Tests
Vital Capacity
Young Adult