RESUMEN
Postoperative curarization in patients has been established. Nevertheless, extremely prolonged neuromuscular blockades are rare. We report the case of a prolonged neuromuscular blockade (lasting 10 hours) following a single dose of rocuronium, in an elderly patient with severe renal failure. We have studied the possible causes of prolonged curarization, and discussed the interest of the use of sugammadex in such cases.
Asunto(s)
Androstanoles/efectos adversos , Bloqueo Neuromuscular/efectos adversos , Fármacos Neuromusculares no Despolarizantes/efectos adversos , Complicaciones Posoperatorias/inducido químicamente , Anciano de 80 o más Años , Androstanoles/administración & dosificación , Androstanoles/antagonistas & inhibidores , Diabetes Mellitus Tipo 2/complicaciones , Femenino , Humanos , Fallo Renal Crónico/complicaciones , Fármacos Neuromusculares no Despolarizantes/administración & dosificación , Fármacos Neuromusculares no Despolarizantes/antagonistas & inhibidores , Rocuronio , Sugammadex , gamma-Ciclodextrinas/uso terapéuticoAsunto(s)
Fármacos Antidiuréticos/efectos adversos , Coma/inducido químicamente , Desamino Arginina Vasopresina/efectos adversos , Hiponatremia/inducido químicamente , Enfermedad de von Willebrand Tipo 2/complicaciones , Fármacos Antidiuréticos/administración & dosificación , Desamino Arginina Vasopresina/administración & dosificación , Femenino , Humanos , Infusiones Intravenosas , Persona de Mediana EdadRESUMEN
We report a case of intracranial chordoma revealed by an isolated abducent nerve palsy in a 4 years old boy. We discuss the possible symptoms of intracranial chordomas and their clinical, radiological and histological diagnosis as well as differential diagnosis. We summarize the available therapeutic modalities and we emphasize the future advantages of proton beam therapy in these lesions.