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Perioperative considerations in infantile neuroaxonal dystrophy
Jina L Sinskey1, Robert S Holzman1
1Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.
Paediatric Anaesthesia
|February 9, 2017
Summary
Infantile neuroaxonal dystrophy (INAD) poses significant perioperative risks. This case study highlights successful surgical management and extubation in a 10-year-old INAD patient with severe scoliosis.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Anesthesiology
Background:
- Infantile neuroaxonal dystrophy (INAD) is a rare, fatal neurodegenerative disorder with a life expectancy typically under 10 years.
- Patients with INAD often develop severe neuromuscular scoliosis, necessitating surgical intervention.
- Perioperative management of INAD patients presents unique challenges, including potential for difficult intubation and respiratory compromise.
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