Perioperative Autonomic Dysfunction in a Patient with Charcot-Marie-Tooth Disease: A Case Report
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Wolters Kluwer Health
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. © 2023 Wolters Kluwer Health. All rights reserved.
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Anesthesia, general, Anesthesia, spinal, Blood pressure, Charcot-marie-tooth disease, Female, Humans, Middle aged, Perioperative care, Alprazolam, Budesonide, Bupivacaine, Creatinine, Etomidate, Fentanyl, Fluoxetine, Midazolam, Oxcarbazepine, Phenylephrine, Pregabalin, Ringer lactate solution, Rocuronium, Salbutamol, Sevoflurane, Sugammadex, Zolpidem, Adult, Anaphylaxis, Anesthesia level, Article, Asthma, Autonomic dysfunction, Autonomic neuropathy, Blood pressure fluctuation, Capnometry, Case report, Clinical article, Crystalloid, Dermatome, Electrocardiogram, End tidal carbon dioxide tension, Femoral neck fracture, General anesthesia, Heart arrest, Heart stress, Hemoglobin blood level, Hereditary motor sensory neuropathy, Hip pain, Hip surgery, Human, Hypertension, Knee surgery, Lower limb, Major depression, Mean arterial pressure, Neuropathic pain, Paralysis, Paresthesia, Perioperative period, Periprosthetic fracture, Physiotherapy, Recovery room, Resuscitation, Spinal anesthesia, Thorax radiography, Total hip replacement, Urea nitrogen blood level, Complication