title: [Malignant hyperthermia during emergency craniotomy: a case report].
abstract: 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.
authors.affiliation: Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
authors.forename: Kenji
authors.initials: K
authors.lastname: Shigematsu
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Shono
authors.forename: Koichi
authors.initials: K
authors.lastname: Tanigawa
authors.forename: Keiko
authors.initials: K
authors.lastname: Mukaida
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Katori
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Hamada
authors.forename: Kazuo
authors.initials: K
authors.lastname: Higa
mesh_terms: 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
chemical_list: D002245:Carbon Dioxide; D007530:Isoflurane; D013390:Succinylcholine