Anesthetic Management of a Patient with Proteus Syndrome: A case report / 대한마취과학회지

Proteus syndrome is a rare condition that can be loosely categorized as a hamartomatous disorder. It is a complex disorder with multisystem involvement and great clinical variability. At this time, it is unknown how many individuals have Proteus syndrome, since not all cases of Proteus syndrome are documented. We do not know whether anesthetic problems in Proteus syndrome are common or not, but as there is a high incidence of cervical spine involvement, we anticipate significant anesthetic problems. We experienced such a case under general anesthesia for liposuction to lipomatosis in the posterior neck and right upper back, in a 18-year-old boy with Proteus syndrome. We report this case of Proteus syndrome and review the literature on this rare disease.

Transient Hypoglossal Nerve Palsy after General Anesthesia in Beach Chair Position for Shoulder Arthroscopic Bankart Repair: A case report / 대한마취과학회지

Hypoglossal nerve palsy is a rare and also a multietiological disease. Nearly half of the 12th nerve palsies were caused by tumors and only 5% followed by surgery, usually after head and neck surgery such as carotid endarterectomy. In the reported cases, complications of oral intubation, bronchoscopy and use of laryngeal mask airway can be the causes of hypoglossal nerve palsy and the positional change of neck can be the cause of nerve injury. Using the Beach chair position for arthroscopy of the shoulder has the advantages of reducing traction injuries to the brachial plexus but also the possibilities of complications such as air embolism, complete airway obstruction and nerve injury. We report a case of transient hypoglossal nerve palsy after general anesthesia, using orotracheal intubation, for shoulder arthroscopic surgery in beach chair position.