Idiopathic malignant hyperthermia. Review and report of a case.
All physicians performing surgery while the patient is under general anesthesia must be aware of the existence of idiopathic malignant hyperthermia. A young adult had a malignant hyperthermic reaction despite four prior uneventful administrations of general anesthetics. To my knowledge, this is the first report of a patient who survived following a hyperthermic reaction, having sustained considerable residual brain damage. There is a great need for continuous body-temperature monitoring during general anesthesia.
D000293:Adolescent; D000769:Anesthesia, Inhalation / Q000009:adverse effects*; D001925:Brain Damage, Chronic / Q000209:etiology; D002712:Chlorides; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia / Q000150:complications / Q000628:therapy; D008733:Methoxyflurane; D012964:Sodium; D013285:Strabismus / Q000601:surgery*; D013390:Succinylcholine; D013610:Tachycardia / Q000209:etiology; D013874:Thiopental
D002712:Chlorides; D008733:Methoxyflurane; D012964:Sodium; D013390:Succinylcholine; D013874:Thiopental