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Anesthetic experience using total intra-venous anesthesia for a patient with Wolf-Hirschhorn syndrome -A case report-.
[wolf-hirschhorn syndrome]
We
present
here
the
case
of
a
33
-
month
-old
male
patient
with
Wolf-
Hirschhorn
syndrome
(
WHS
)
and
who
underwent
tympanoplasty
and
myringotomy
.
WHS
is
caused
by
a
rare
chromosomal
abnormality
,
which
is
the
deletion
of
the
short
arm
of
chromosome
number
4
.
The
typical
craniofacial
features
of
WHS
patients
such
as
micrognathia
,
microcephaly
and
the
muscular
weakness
can
make
using
neuromuscular
blocking
agents
and
performing
intubation
difficult
.
Moreover
,
there
are
a
few
previous
case
reports
showing
that
malignant
hyperthermia
occurred
during
and
after
an
operation
in
which
the
anesthesia
was
done
with
inhalation
agents
,
so
special
anesthetic
care
is
needed
when
operating
on
a
WHS
patient
.
By
carefully
intubating
the
patient
and
using
total
intravenous
anesthesia
,
we
performed
successful
anesthesia
without
any
complications
.
We
describe
here
the
anesthetic
management
of
a
WHS
patient
and
we
review
the
relevant
literature
.
Diseases
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Diseases presenting
"we performed successful anesthesia without any complications"
symptom
wolf-hirschhorn syndrome
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