Perioperative Autonomic Dysfunction in a Patient With Charcot-Marie-Tooth Disease: A Case Report.

IF 0.5

A&A Practice Pub Date : 2023-09-01 DOI:10.1213/XAA.0000000000001722

Wissam Maroun, Carol Abi Shadid, Mohamed Fayed, Carine Foz, Jean Beresian, Ahmad Oseili

引用次数: 0

Abstract

Autonomic dysfunction can lead to unexpected hemodynamic instability during surgery, and best practices for the perioperative care of patients with this condition are not well-defined. We report the case of a 63-year-old woman with Charcot-Marie-Tooth disease who experienced perioperative autonomic dysfunction characterized by severe fluctuations in blood pressure while under spinal anesthesia. However, <1 month later, a second hip surgery performed under general anesthesia with special precautions resulted in an uncomplicated perioperative course, with only mild fluctuations in blood pressure.

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腓骨肌-玛丽肌病患者围手术期自主神经功能障碍1例。

自主神经功能障碍可导致手术期间意想不到的血流动力学不稳定，对于这种情况的患者围手术期护理的最佳实践尚未明确定义。我们报告一例63岁女性腓骨肌萎缩症患者，在脊柱麻醉下出现围手术期自主神经功能紊乱，其特征为血压剧烈波动。然而,

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.