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Caesarean section in a complicated case of central core disease
Author(s) -
Foster R. N.,
Boothroyd K. P.
Publication year - 2008
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2007.05411.x
Subject(s) - medicine , central core disease , kyphoscoliosis , malignant hyperthermia , caesarean section , disease , remifentanil , weakness , anesthesia , surgery , propofol , scoliosis , pregnancy , pathology , ryanodine receptor , biology , genetics , calcium , ryr1
Summary We describe the anaesthetic management of a 21‐year‐old lady with central core disease for elective Caesarean section. Central core disease is characterised by muscle weakness, skeletal deformities and susceptibility to malignant hyperthermia. Total intravenous anaesthesia was used because of the combination of potential malignant hyperthermia, severe kyphoscoliosis and extensive spinal scarring. The authors believe there is no previous report of propofol and remifentanil being used in these circumstances. A short review of central core disease and its anaesthetic implications is provided.