Severe neurologic manifestations in acute intermittent porphyria developed after spine surgery under general anesthesia: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 217-220, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-175780
ABSTRACT
Porphyrias are inherited metabolic disorders resulting from a specific enzyme defect in the heme biosynthetic pathway. Porphyrias are induced by various precipitants. Clinical features include abdominal pain, neurologic manifestations, autonomic neuropathy, and mental disturbance. Diagnosis may be delayed because of variable symptoms that mimic other diseases and because of the rarity of of porphyrias. Although most patients with known porphyria can complete anesthesia and surgery safely, undiagnosed porphyric patients are in danger of porphyric crisis due to inadvertent exposure to precipitating drugs and environment. We report a case of a patient who experienced delayed emergence with neurological disturbance after general anesthesia, ultimately diagnosed as acute intermittent porphyria.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Porphyries
/
Rachis
/
Encéphalopathie de Gayet-Wernicke
/
Douleur abdominale
/
Porphyrie aigüe intermittente
/
Syndrome de Guillain-Barré
/
Diagnostic
/
Voies de biosynthèse
/
Retard de réveil post-anesthésique
/
Hème
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2014
Type:
Article
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