Anesthetic management of a patient with Cornelia De Lange sy
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
ABSTRACT
Cornelia de Lange syndrome presents with various problems which include anatomical anomalies of face and extremities, cardiopulmonary and endocrine disorders, renal dysfunction, epileptic EEG waves, and mental retardation. Difficult airway and aspiration risk due to gastroesophageal reflux and poor esophageal motility are the main challenges in anesthesia management. The choice of anesthetic procedure must be carefully considered in view of these abnormalities. We report a 14years old male child who was a known case of Cornelia De Lange Syndrome for dental extraction with restorations under general anesthesia. The uneventful course of the anesthesia in the presented case was due to the thorough systemic evaluation and careful anesthetic strategy.

CASE :
A 14 years male child, weighing 15 kg, who was a diagnosed case of CdLS, was planned for multiple dental extractions and restorations. Preoperative examination of child showed small face with microbrachycephaly, thick bushy arched eyebrows coinciding at midline, long eyelashes, depressed nasal bridge with anteverted nares, long philtrum, thin downturned upper lip, protruded and widely spaced central incisors, low set ears, micrognathia and short extended neck. On musculoskeletal examination short upper and lower limbs with syndactyly of 2nd and 3rd fingers with simian crease and contractures of elbow and knee joints was noted (Figure 1 & 2)......

http://www.apicareonline.com/anesthetic-management-of-a-patient-with-cornelia-de-lange-syndrome/
Like
Comment
Share