Anesth Pain Med.  2014 Oct;9(4):298-300. 10.0000/apm.2014.9.4.298.

Epidural anesthesia for a lumbar discectomy in a patient with paramyotonia congenita: A case report

• Kim KW
• Park JC
• Kim HJ

• KMID: 2046873
• DOI: http://doi.org/10.0000/apm.2014.9.4.298

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.

Keyword

Epidural analgesia; Myotonia; Paramyotonia congenita

MeSH Terms

Analgesia, Epidural
Anesthesia, Epidural*
Body Temperature
Diskectomy*
Humans
Muscle Weakness
Muscle, Skeletal
Myotonia
Myotonic Disorders*
Neuromuscular Depolarizing Agents
Potassium
Neuromuscular Depolarizing Agents
Potassium