Arthrogrypozis Multiplex Congenita and Anesthesia: A Case Report and Review of the Literature

Öz

Arthrogryposis Multiplex Congenita is a term that describes a  rare congenital syndrome. Clinical features is characterized by  multiple joint contractures that requires recurrent surgical  interventions. Various system anomalies can be associated with this  syndrome. The anesthesia management of a patient with  Arthrogryposis Multiplex Congenita may lead to several challenges  including difficult airway, difficult venous access and malign  hyperthermia. In this case report, we aimed to present the anesthesia  management of a 13 months-old case with arthrogryposis multiplex congenita who operated for joint contracture.

Anahtar Kelimeler

• Arthrogryposis multiplex congenita, anesthesia, general, airway management

Artrogripozis Multipleks Konjenita ve Anestezi: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Öz

Artrogripozis multipleks konjenita nadir görülen bir konjenital sendromu tanımlayan terimdir. Klinik tablo, tekrarlayan cerrahi girişimler gerektiren multipl eklem kontraktürleriyle karakterizedir. Çeşitli sistem anomalileri bu sendroma eşlik edebilir. Artrogripozis multipleks konjenitalı hastada anestezi yönetimi; zor havayolu, zor damaryolu ve malign hipertermiyi içeren birçok zorluğa yol açabilir.
Biz bu olgu sunumunda, eklem kontraktürü için opere edilen 13 aylık erkek çocuğunun anestezi yönetimini tartışmayı amaçladık.

Anahtar Kelimeler

• Artrogripozis multipleks konjenita, anestezi, genel, hava yolu yönetimi

Kaynakça

1. Ferguson J, Wainwright A. Arthrogryposis. Orthopaedics and Trauma 2013; 27(3): 171-80. Kalampokas E, Kalampokas T, Sofoudis C, Deligeoroglou E, Botsis D. Diagnosing arthrogryposis multiplex congenita: a review. ISRN Obstet Gynecol 2012; 2012: 264918. Nguyen NH, Morvant EM, Mayhew JF. Anesthetic management for patients with arthrogryposis multiplex congenita and severe micrognathia: case reports. J Clin Anesth 2000;12(3): 227 Martin S, Tobias JD. Perioperative care of the child with arthtogryposis. Paediatr Anaesth 2006; 16: 31-7. Froster-Iskenius UG, Weterson JR, Hall JG. A recessive form of congenital contractures and torticollis associated with malignant hyperthermia. J Med Genet 1988;25: 102-12. Lee-Jayaram JJ, Yamamoto LG. Alternative airways for the pediatric emergency department. Pediatr Emerg Care 2014;30(3): 191-9. Thomas PB, Parry MG. The difficult paediatric airway: a new method of intubation using the laryngeal mask airway TM , Cook ® airway exchange catheter and tracheal intubation fiberscope. Paediatr Anaesth 2001;11(5): 618-21. Murphy JC, Neale D, Bromley B, Benacerraf BR, Copel JA. Hypoechogenecity of fetal long bones: a new ultrasound marker for arthrogryposis. Prenat Diagn 2002;22: 1219-22. Chowdhuri R, Samui S, Kundu AK. Anesthetic management of a neonate with arthrogryposis multiplex congenital for emergency laparotomy. J Anaesthesiol Clin Pharmacol 2011;27(2): 244-6. Baines DB, Douglas ID, Overton JH. Anaesthesia for patients with arthrogryposis multiplex congenital:what is the risk of malignant hyperthermia? Anaesth Intensive Care 1986;14(4): 370 Baudendistel N, Goudsouzian N, Cote C, Strafford M. End-tidal CO 2 monitoring. Anaesthesia 1984;39: 1000-3. Sreevastava D, Trikha A, Sehgal L, Arora MK. Interscalene brachial plexus block for shoulder surgery in a patient with arthrogryposis multiplex congenital. Anaesth Intensive Care 2002;30: 495-8.