Anaesthesia Management of a Child with West Syndrome

Area of Science:

• Pediatric Neurology
• Anesthesiology
• Epileptology

Background:

• West syndrome (WS) is a severe epileptic encephalopathy in infants, characterized by EEG abnormalities.
• Patients with WS often exhibit associated conditions like cerebral palsy, facial, and skeletal deformities.
• Anesthetic management requires careful preoperative evaluation due to seizure risk and potential airway difficulties.

Observation:

• This case report details the anesthetic management of an 11-year-old male patient with WS undergoing a left femoral fixation surgery.
• The patient weighed 18 kg.

Findings:

• The report highlights the specific considerations for general anesthesia in a pediatric patient with West syndrome.
• It emphasizes the importance of anticipating and managing potential anesthetic complications.

Implications:

• This case underscores the need for tailored anesthetic protocols for patients with West syndrome.
• It contributes to the understanding of safe anesthetic practices in complex pediatric neurological conditions.
• Highlights the importance of multidisciplinary collaboration in managing patients with rare diseases.