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Address for correspondence: Dr. Narendra Kumar, 258/A, Narayana Hrudayalaya Campus, Bommasandra Industrial Area, Bengaluru ‐ 560 099, Karnataka, India. E‐mail: dr.narendra.mehta@gmail.com the operation theatre to reduce the anxiety of the child. Difficult intubation cart was kept ready. All montiors; such as electrocardiography, non‐invasive blood pressure, pulse oximeter and temperature probe was applied. General anaesthesia was induced with sevoflurane in an incremental manner up to 8 vol. %. Intravenous line was secured. glycopyrrolate 0.12 mg, fentanyl 20 μg and propofol 20 mg was given. Tracheal intubation was performed using cuffed endotracheal tube no.5 in the second attempt, without muscle relaxant successfully. Anesthesia was maintained with oxygen, nitrous oxide and sevoflurane 2.5 vol. % in low flow anesthesia circuit (1;1). All parameters such as electrocardiography, non‐invasive blood pressure, end tidal carbon dioxide; saturation and temperature were monitored continuously. The procedure took 90 min. Trachea was extubated when patient was fully awake. A total of 15 mg propofol was given 5 min before extubation. Saturation was maintained in the post‐operative period.

Sevoflurane in a child with cerebellar ataxia and central hypomyelination syndrome with hypoplastic corpus callosum