Anesthesia management in a patient with kabuki syndrome.

TitleAnesthesia management in a patient with kabuki syndrome.
Publication TypeJournal Article
Year of Publication2014
AuthorsAtalay YO, Kaya C, Ustun YB, Sahinoglu AH
JournalMed Arch
Volume68
Issue5
Pagination359-60
Date Published2014 Oct
ISSN0350-199X
Abstract

BACKGROUND AND OBJECTIVES: The aim of this case was to describe the anesthetic approach to a patient with Kabuki syndrome. CASE REPORT: A patient with Kabuki syndrome had revision surgery for scoliosis. On physical examination, shown were long palpebral fissures, large, prominent fissures with an eversion of the lateral third of the lower eyelids, large, prominent malformed ears with low implantation, a short nasal septum, micrognathia, thoracolumbar scoliosis, a depressed left shoulder, a low-set occipital hairline and a short neck. The skin was elastic, and joints were lax. The laryngoscopy showed a Grade II Cormack and Lehane view of the larynx. The trachea was intubated easily. The patient was positioned carefully. Vital signs remained stable during surgery. The patient was extubated and transported to the post-anesthetic care unit. CONCLUSION: Anesthesiologists should be aware of possibly difficult tracheal intubation cardiac lesions, respiratory problems, neurological and musculoskeletal disorders, and a latex allergy when managing anesthesia for a patient with Kabuki syndrome.

DOI10.5455/medarh.2014.68.359-360
Alternate JournalMed Arch
Citation Key1574
PubMed ID25568573