[Malignant hyperthermia during emergency craniotomy: a case report].
An 18-year-old man underwent emergency craniotomy for acute epidural hematoma under general anesthesia using suxamethonium and isoflurane. Marked rises in end-tidal carbon dioxide, body temperature, and serum potassium occurred during the surgery. After intravenous dantrolene sodium administration, the body temperature dropped rapidly. No conspicuous postoperative elevation of serum creatine kinase levels were observed. Postoperative muscle biopsy specimen revealed increased calcium-induced calcium release.
Shigematsu
Kenji
K
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Shono
Shinjiro
S
Tanigawa
Koichi
K
Mukaida
Keiko
K
Katori
Kiyoshi
K
Hamada
Takamitsu
T
Higa
Kazuo
K
D000208:Acute Disease; D000293:Adolescent; D000768:Anesthesia, General; D002245:Carbon Dioxide / Q000032:analysis; D003399:Craniotomy; D004630:Emergencies; D006407:Hematoma, Epidural, Cranial / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D007530:Isoflurane; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology*; D013390:Succinylcholine; D013990:Tidal Volume
D002245:Carbon Dioxide; D007530:Isoflurane; D013390:Succinylcholine